ArticleBMC health services research2020
Smart triage: triage and management of sepsis in children using the point-of-care Pediatric Rapid Sepsis Trigger (PRST) tool.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04304235 (Smart Triage), which is not on this map. Cited by 22 papers.
What it found
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Smart Triage: Triage and Management of Sepsis in Children Using the Point-of-care Paediatric Rapid Sepsis Trigger (PRST) Tool
Who cites it
22 citing papers in PubMed, 40 citations in OpenAlex.
- Trial
- Implementation of Smart Triage combined with a quality improvement program for children presenting to facilities in Kenya and Uganda: An interrupted time series analysis.PLOS digital health · 2025Article
- Repeatability of RRate measurements in children during triage in two Ugandan hospitals.PLOS global public health · 2025Article
- Exploring two-way text messages for post-discharge follow-up and quality improvement in rural Uganda.PloS one · 2025Article
- Tumour lysis syndrome.Nature reviews. Disease primers · 2024Review
- Comparison between the Smart Triage model and the Emergency Triage Assessment and Treatment guidelines in triaging children presenting to the emergency departments of two public hospitals in Kenya.PLOS digital health · 2024Article
- Geographical validation of the Smart Triage Model by age group.PLOS digital health · 2024Article
- Morbidity and unplanned healthcare encounters after hospital discharge among young children in Dar es Salaam, Tanzania and Monrovia, Liberia.BMJ paediatrics open · 2024Observational
- External validation of a paediatric Smart triage model for use in resource limited facilities.PLOS digital health · 2024Article
- New Phoenix criteria for pediatric sepsis and septic shock: the strengths and the future of a comprehensive perspective.Critical care science · 2024Article
- Clinical decision support tools for paediatric sepsis in resource-poor settings: an international qualitative study.BMJ open · 2023Article
- Cost-effectiveness analysis of Smart Triage, a data-driven pediatric sepsis triage platform in Eastern Uganda.BMC health services research · 2023Article
- Repeatability of Pulse Oximetry Measurements in Children During Triage in 2 Ugandan Hospitals.Global health, science and practice · 2023Article
- A sepsis trigger tool reduces time to antibiotic administration in the NICU.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Scoping review of health information technology usability methods leveraged in Africa.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- A proposed de-identification framework for a cohort of children presenting at a health facility in Uganda.PLOS digital health · 2022Article
- Smart triage: Development of a rapid pediatric triage algorithm for use in low-and-middle income countries.Frontiers in pediatrics · 2022Article
- Challenges and Solutions in translating sepsis guidelines into practice in resource-limited settings.Translational pediatrics · 2021Review
- Article
- Common data elements for predictors of pediatric sepsis: A framework to standardize data collection.PloS one · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 5 institutions in 3 countries.
Funding
Abstract
backgroundSepsis is the leading cause of death and disability in children. Every hour of delay in treatment is associated with an escalating risk of morbidity and mortality. The burden of sepsis is greatest in low- and middle-income countries where timely treatment may not occur due to delays in diagnosis and prioritization of critically ill children. To circumvent these challenges, we propose the development and clinical evaluation of a digital triage tool that will identify high risk children and reduce time to treatment. We will also implement and clinically validate a Radio-Frequency Identification system to automate tracking of patients. The mobile platform (mobile device and dashboard) and automated patient tracking system will create a low cost, highly scalable solution for critically ill children, including those with sepsis.
methodsThis is pre-post intervention study consisting of three phases. Phase I will be a baseline period where data is collected on key predictors and outcomes before implementation of the digital triage tool. In Phase I, there will be no changes to healthcare delivery processes in place at the study hospitals. Phase II will involve model derivation, technology development, and usability testing. Phase III will be the intervention period where data is collected on key predictors and outcomes after implementation of the digital triage tool. The primary outcome, time to treatment initiation, will be compared to assess effectiveness of the digital health intervention. DISCUSSION: Smart technology has the potential to overcome the barrier of limited clinical expertise in the identification of the child at risk. This mobile health platform, with sensors and data-driven applications, will provide real-time individualized risk prediction to rapidly triage patients and facilitate timely access to life-saving treatments for children in low- and middle-income countries, where specialists are not regularly available and deaths from sepsis are common.
trial registrationClinical Trials.gov Identifier: NCT04304235, Registered 11 March 2020.
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Registered trials
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.