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New global criteria for improved diagnosis of pediatric sepsis

Diagnosis of sepsis in children has been improved based on new research findings by NOMIS researcher Luregn Schlapbach and colleagues. An international research team co-led by the University Children’s Hospital Zurich harnessed artificial intelligence to analyze data from over 3.5 million children suffering from this life-threatening disease. Their findings were published in the Journal of the American Medical Association (JAMA).

Sepsis is a life-threatening infection that can lead to organ failure. Every year, around 3 million children worldwide die of the disease. Of those who survive a sepsis infection, every third child suffers long-term consequences, sometimes severe. Until now, there were no evidence-based criteria for diagnosing sepsis in children.

In a big-data project spanning several years, an international task force analyzed data from over 3.5 million children suffering from sepsis. The researchers applied machine-learning methods to extrapolate from the data analysis evidence-based criteria for diagnosing sepsis in children. They used their findings to develop a novel scoring system, called the Phoenix Sepsis Score. The scoring system enables physicians to quickly and reliably determine the severity of organ failure in children with sepsis.

Global relevance

“These findings are very relevant. For the first time, we have standardized and evidence-based criteria that can be used to improve the early detection of this serious disease in the future,” says Prof. Dr. med. Luregn Schlapbach. Schlapbach is professor of pediatric intensive care medicine at the University of Zurich and senior physician in intensive care medicine at the University Children’s Hospital Zurich. He led the study together with Prof. Scott Watson of the Seattle Children’s Hospital, USA.

The big-data project included data from developing countries in South America, Africa and Asia – a first for a sepsis study of this kind. This means the new criteria are equally suitable for small and large hospitals in different types of healthcare systems anywhere in the world.

The international significance of the findings led to the study being published in a double publication in the renowned journal JAMA.

Go to this University Children’s Hospital Zurich release: Sepsis in Children: Improved Diagnosis Thanks to New Global Criteria

Read the JAMA publication: International Consensus Criteria for Pediatric Sepsis and Septic Shock

Related news

JAMA: Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock

University Children’s Hospital Zurich release (German): Sepsis bei Kindern: Bessere Diagnose dank neuer global gültiger Kriterien

Feature image: University Children’s Hospital Zurich

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Head of the Pediatric and Neonatal Intensive Care Unit
University Children's Hospital Zurich
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