Evidence map›Paper›PMID 25226498›Full record

ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2014

An epidemiologic survey of pediatric sepsis in regional hospitals in China.

Yuanyuan Wang, Bo Sun, Hongni Yue, Xiaofei Lin, Bing Li, Xiaochun Yang, Chunming Shan, Yujin Fan, Maotian Dong, Yixing Zhang and 6 more

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Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

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35citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

35 citing papers in PubMed.

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  13. Sepsis heterogeneity.World journal of pediatrics : WJP · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Yuanyuan Wang1Departments of Pediatrics and Pediatric Critical Care, Children's Hospital of Fudan University, Shanghai, China. 2Department of Pediatrics, Huai'an Maternity and Children's Hospital, Jiangsu, China. 3Department of Pediatrics, Huai'an First People's Hospital, Huai'an, Jiangsu, China. 4Department of Pediatrics, Huai'an Second People's Hospital, Huai'an, Jiangsu, China. 5Department of Pediatrics, Huaiyin District Hospital, Huai'an, Jiangsu, China. 6Department of Pediatrics, Chuzhou District Hospital, Huai'an, Jiangsu, China. 7Department of Pediatrics, Xuyi County Hospital, Huai'an, Jiangsu, China. 8Department of Pediatrics, Xuyi County Hospital for Traditional Chinese Medicine, Huai'an, Jiangsu, China. 9Department of Pediatrics, Lianshui County Hospital, Huai'an, Jiangsu, China. 10Department of Pediatrics, Lianshui County Hospital for Traditional Chinese Medicine, Huai'an, Jiangsu, China. 11Department of Pediatrics, Jinhu County Hospital, Huai'an, Jiangsu, China. 12Department of Pediatrics, Hongze County Hospital, Huai'an, Jiangsu, China. 13Department of Pediatrics, University of British-Columbia and BC Children's Hospital, Vancouver, Canada.
Bo Sun
Hongni Yue
Xiaofei Lin
Bing Li
Xiaochun Yang
Chunming Shan
Yujin Fan
Maotian Dong
Yixing Zhang
Wenlong Lin
Xiaofeng Zuo
Ping Su
Yongbo Heng
Jinzhong Xu
Niranjan Kissoon

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the prevalence, treatment, and outcomes of sepsis at regional hospitals in Huai'an, Jiangsu, China.

designProspective data registry using a descriptive clinical epidemiologic approach through a collaborative network.

settingPediatric departments in 11 regional city and county referral hospitals serving 843,000 children (exclusive of neonates). SUBJECTS: All admissions (n = 27,836) of patients from 28 days to 15 years old from September 1, 2010, to August 31, 2011.

interventionsNone. MEASUREMENTS AND MAIN

resultsA total of 1,530 patients met the 2005 international consensus definition of sepsis, corresponding to an estimated incidence of 181/100,000 children, with 80% under 5 years old, and in 10% (153), severe sepsis or septic shock developed. The overall case fatality rate for sepsis was 3.5% (53/1,530) or 34.6% (53/153) in those in whom severe sepsis or septic shock developed. Treatment varied widely and in many instances did not conform to international guidelines as reflected by inadequate use of antibiotics, corticosteroids, vasoactive agents, and inotropes.

conclusionsWe first report the prevalence and outcome of pediatric sepsis based on a regional hospital network in China. The diverse treatment approaches and practice at low-level clinics suggest the need for clinical implementation of internationally recognized strategy to improve the care standard in resource-limited regional hospitals.

Indexed as

AdolescentAnti-Bacterial AgentsChildChild, PreschoolChinaFemaleHumansIncidenceInfantMalePrevalenceProspective StudiesSepsisShock, SepticAnti-Bacterial Agents

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.