Evidence map›Paper›PMID 40933030›Full record

ArticleThe Lancet regional health. Western Pacific2025

Epidemiology of community acquired sepsis in children in Australia and New Zealand: a multicentre prospective cohort study.

Elliot Long, Meredith L Borland, Shane George, Shefali Jani, Eunicia Tan, Natalie Phillips, Amit Kochar, Simon Craig, Anna Lithgow, Arjun Rao and 11 more

Abstract read
In one paragraph

Article in The Lancet regional health. Western Pacific, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Circulating DNA and Neutrophil-Derived Biomarkers in Neonatal Sepsis.International journal of molecular sciences · 2026
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Elliot LongDepartment of Emergency Medicine, The Royal Children's Hospital, Parkville, Victoria, Australia.
Meredith L BorlandDepartment of Emergency Medicine, Perth Children's Hospital, Nedlands, Western Australia, Australia.
Shane GeorgeDepartment of Emergency Medicine and Children's Critical Care, Gold Coast University Hospital, Southport, Queensland, Australia.
Shefali JaniDepartment of Emergency Medicine, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.
Eunicia TanKidz First Hospital and Department of Surgery, The University of Auckland, Auckland, New Zealand.
Natalie PhillipsChild Health Research Centre, The University of Queensland, Brisbane, Queensland, Australia.
Amit KocharDepartment of Emergency Medicine, Women and Children's Hospital, Adelaide, South Australia, Australia.
Simon CraigClinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Anna LithgowDepartment of Paediatrics, Royal Darwin Hospital, Tiwi, Northern Territory, Australia.
Arjun RaoDepartment of Emergency Medicine, Sydney Children's Hospital, Randwick, New South Wales, Australia.
Emma WhyteDepartment of Emergency Medicine, Townsville Hospital, Douglas, Queensland, Australia.
Stuart DalzielDepartment of Surgery and Paediatrics: Child and Youth Health, The University of Auckland, Auckland, New Zealand.
Stephen HearpsClinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Ben GelbartClinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Sarah McNabClinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Fran BalamuthDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Scott L WeissNemours Children's Health and Sydney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
Nathan KuppermannDivision of Emergency Medicine, Department of Pediatrics, Children's National Hospital and the George Washington University School of Medicine and Health Sciences, Washington DC, USA.
Amanda WilliamsClinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Franz E BablDepartment of Emergency Medicine, The Royal Children's Hospital, Parkville, Victoria, Australia.
Paediatric Research in Emergency Departments International Collaborative (PREDICT) network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Paediatric sepsis epidemiology is unclear due to variability in case ascertainment. We describe the epidemiology of community acquired sepsis in Australian and New Zealand children using the Phoenix sepsis criteria. Methods: Prospective observational study conducted in 11 hospitals through the Paediatric Research in Emergency Departments International Collaborative (PREDICT) Network from April 2021 to December 2023. Children aged 0-<18 years with suspected sepsis were included. Demographic information, therapies administered, and outcomes were collected, and the Phoenix sepsis criteria were applied. Findings: Of 822,072 children assessed, 6232 (0.8%) children had suspected sepsis and 306 (<0.1%) met the Phoenix sepsis criteria. Children who met the Phoenix sepsis criteria had higher rates of intensive care unit admission (245/306; 80.1% vs 1080/6232; 17.3%), vasoactive infusion (144/306; 47.1% vs 179/6232; 2.9%) mechanical ventilation (146/306; 47.7% vs 251/6232; 4.0%), and extracorporeal life support (12/306; 3.9% vs 13/6232; 0.2%) compared to the overall cohort. Intensive care unit and hospital length of stay were longer for those meeting Phoenix sepsis criteria than for the overall cohort (median 48.4 h vs 79.8 h and 69.7 h vs 189.8 h, respectively). Overall, 87/6232 (1.4%) patients died within 90 days, 42/306 (13.7%) of whom met Phoenix sepsis criteria. Interpretation: Hospitalisation for suspected sepsis was relatively infrequent. The Phoenix sepsis criteria identified children with more severe illness and worse outcomes, but underestimated the overall burden of sepsis. Funding: The National Health and Medical Research Council, the Medical Research Futures Fund, The Royal Children's Hospital Foundation, and the Victorian Government.

Indexed as

ChildEpidemiologyOrgan dysfunctionSepsis

Identifiers

PMID40933030
PMCPMC12417362

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.