Sepsis in Critically Ill Children in Bolivia: Multicenter Retrospective Evaluation of the Phoenix Criteria for Sepsis in a 2023 Cohort

In this 2023, retrospective cohort of PICU patients with sepsis in Bolivia, we have found that the majority met the 2024 Phoenix sepsis criteria, but less than two-thirds met the SIRS-based criteria for diagnosis. However, the respiratory score in the Phoenix criteria overestimated the severity of respiratory dysfunction in more than half of the cohort, likely because the score does not take account of the Andean adaptation to high altitude, with higher oxygen carrying capacity.

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Publication Details

Journal
Pediatric Critical Care Medicine
Published
2025-02-20
DOI
https://doi.org/10.1097/pcc.0000000000003714
Citations
8
Primary Topic
Sepsis Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
10.83
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article

Sepsis in Critically Ill Children in Bolivia: Multicenter Retrospective Evaluation of the Phoenix Criteria for Sepsis in a 2023 Cohort

L. Nelson Sanchez‐Pinto, Raúl Copana-Olmos, B Wara Ledezma-Hurtado, Mariel Andrea Forest-Yepez et al.
8 citations
Pediatric Critical Care Medicine
Sepsis Diagnosis and Treatment
10.83
article

Sepsis in Critically Ill Children in Bolivia: Multicenter Retrospective Evaluation of the Phoenix Criteria for Sepsis in a 2023 Cohort

L. Nelson Sanchez‐Pinto, Raúl Copana-Olmos, B Wara Ledezma-Hurtado, Mariel Andrea Forest-Yepez, Jhovana E. Paco-Barral, Nils Casson-Rodriguez, Ibeth Rivera-Murguia, Claudia Castro-Auza, Milenka Gamboa-Lanza, Gustavo Choque-Osco, Betzhi Vera-Dorado, Magbely Cuellar-Gutierrez, Alan J. Sarmiento-Zurita, Michelle G. Carrillo-Vargas, Willmer Diaz-Villalobos, Victor Urquieta-Clavel, Mary Tejerina-Ortiz, Carol Mendoza-Montoya, Maricruz Fernández-Vidal, Danny Blanco-Espejo
article en
8 citations

Abstract

In this 2023, retrospective cohort of PICU patients with sepsis in Bolivia, we have found that the majority met the 2024 Phoenix sepsis criteria, but less than two-thirds met the SIRS-based criteria for diagnosis. However, the respiratory score in the Phoenix criteria overestimated the severity of respiratory dysfunction in more than half of the cohort, likely because the score does not take account of the Andean adaptation to high altitude, with higher oxygen carrying capacity.

Pediatric Critical Care MedicineVol. 26(5)
Northwestern University (US), Lurie Children's Hospital (US), Tomás Frías Autonomous University (BO), Universidad Mayor de San Simón (BO), Hospital Madre Teresa (BR), Hospital Quirónsalud Sagrado Corazón (ES), Instituto Boliviano de Ciencia y Tecnología Nuclear (BO), Fundación PROINPA (BO), Hospital San Juan de Dios (CL), Ministerio de Salud (BO), Hospital Materno-Infantil (ES), Hospital del Niño (PA), Universidad Nacional del Oriente (BO), Universidad Pública de El Alto (BO)
Good health and well-being
Openalex Percentile: Top 2%
Sepsis Diagnosis and Treatment
10.83
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