Evidence map›Paper›PMID 40098493›Full record

ArticleJournal of Korean medical science2025

Validation of the Phoenix Criteria for Sepsis and Septic Shock in a Pediatric Intensive Care Unit.

Chang Hoon Han, Hamin Kim, Mireu Park, Soo Yeon Kim, Jong Deok Kim, Myung Hyun Sohn, Seng Chan You, Kyung Won Kim

Erratum issuedAbstract readValidation Study
In one paragraph

Article in Journal of Korean medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Chang Hoon HanDepartment of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8092-5884
Hamin KimDepartment of Pediatrics, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0601-7300
Mireu ParkDepartment of Pediatrics, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-4342-6143
Soo Yeon KimDepartment of Pediatrics, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-4965-6193
Jong Deok KimDepartment of Pediatrics, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-4266-5655
Myung Hyun SohnDepartment of Pediatrics, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-2478-487X
Seng Chan YouDepartment of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5052-6399
Kyung Won KimInstitute for Innovation in Digital Healthcare, Yonsei University, Seoul, Korea.ORCID https://orcid.org/0000-0003-4529-6135

Funding

Korea Health Industry Development InstituteNational Research Foundation of Korea 2022R1A2C1010462
6 · The paper itself

Abstract

The applicability of the Phoenix criteria and Phoenix Sepsis Score in higher-resource pediatric intensive care units (PICUs) outside the United States requires further validation. A retrospective cohort study analyzed electronic health records of 1,304 PICU admissions under 18 years old with suspected infection between February 2017 and December 2023. The score was calculated using two methods: 24-hour assessment, based on worst sub-scores within 24 hours of admission, and prompt assessment, using values closest to admission within 6 hours before or after. Based on the 24-hour assessment, in-hospital mortality was 8.3% for sepsis and 10.3% for septic shock. The score demonstrated an area under the precision-recall curve of 0.42 (95% confidence interval, 0.31-0.55) for in-hospital mortality. Results were consistent across both assessment methods. The Phoenix criteria and the Phoenix Sepsis Score are reliable predictors of mortality outcomes. Further investigation in diverse clinical settings is warranted.

Indexed as

SepsisShock, SepticAdolescentArea Under CurveChildChild, PreschoolElectronic Health RecordsFemaleHospital MortalityHumansInfantIntensive Care Units, PediatricMaleRetrospective StudiesROC CurveSeverity of Illness IndexIntensive Care UnitsMortalityPediatricsPredictive Value of TestsSepsisSeptic Shock

Identifiers

PMID40098493
PMCPMC11913626

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.