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Comparison of the performance of a clinical classification tree versus clinical gestalt in predicting sepsis with extended-spectrum beta-lactamase–producing gram-negative rods

A clinical decision tree was developed using point-of-care characteristics to identify patients with culture-proven sepsis due to extended-spectrum β-lactamase–producing Enterobacterales (ESBL-PE). We compared its performance with the clinical gestalt of emergency department (ED) clinicians and hosp...

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Autores principales: Smith, Hayden L., Elfeki, Mohamed A., Lowry, Dana, Sabates, Rebecca, Ropte, Molly, Sittig, Katherine R., Finch, Stephanie, Braun, Kristina, Pruett, William, Wasson, Aaron, Fischman, Kenna, Peterson, Jennifer, Rosa, Rossana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9614789/
https://www.ncbi.nlm.nih.gov/pubmed/36310800
http://dx.doi.org/10.1017/ash.2021.253
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author Smith, Hayden L.
Elfeki, Mohamed A.
Lowry, Dana
Sabates, Rebecca
Ropte, Molly
Sittig, Katherine R.
Finch, Stephanie
Braun, Kristina
Pruett, William
Wasson, Aaron
Fischman, Kenna
Peterson, Jennifer
Rosa, Rossana
author_facet Smith, Hayden L.
Elfeki, Mohamed A.
Lowry, Dana
Sabates, Rebecca
Ropte, Molly
Sittig, Katherine R.
Finch, Stephanie
Braun, Kristina
Pruett, William
Wasson, Aaron
Fischman, Kenna
Peterson, Jennifer
Rosa, Rossana
author_sort Smith, Hayden L.
collection PubMed
description A clinical decision tree was developed using point-of-care characteristics to identify patients with culture-proven sepsis due to extended-spectrum β-lactamase–producing Enterobacterales (ESBL-PE). We compared its performance with the clinical gestalt of emergency department (ED) clinicians and hospital-based clinicians. The developed tree outperformed ED-based clinicians but was comparable to inpatient-based clinicians.
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spelling pubmed-96147892022-10-29 Comparison of the performance of a clinical classification tree versus clinical gestalt in predicting sepsis with extended-spectrum beta-lactamase–producing gram-negative rods Smith, Hayden L. Elfeki, Mohamed A. Lowry, Dana Sabates, Rebecca Ropte, Molly Sittig, Katherine R. Finch, Stephanie Braun, Kristina Pruett, William Wasson, Aaron Fischman, Kenna Peterson, Jennifer Rosa, Rossana Antimicrob Steward Healthc Epidemiol Concise Communication A clinical decision tree was developed using point-of-care characteristics to identify patients with culture-proven sepsis due to extended-spectrum β-lactamase–producing Enterobacterales (ESBL-PE). We compared its performance with the clinical gestalt of emergency department (ED) clinicians and hospital-based clinicians. The developed tree outperformed ED-based clinicians but was comparable to inpatient-based clinicians. Cambridge University Press 2022-03-07 /pmc/articles/PMC9614789/ /pubmed/36310800 http://dx.doi.org/10.1017/ash.2021.253 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction in any medium, provided the original article is properly cited.
spellingShingle Concise Communication
Smith, Hayden L.
Elfeki, Mohamed A.
Lowry, Dana
Sabates, Rebecca
Ropte, Molly
Sittig, Katherine R.
Finch, Stephanie
Braun, Kristina
Pruett, William
Wasson, Aaron
Fischman, Kenna
Peterson, Jennifer
Rosa, Rossana
Comparison of the performance of a clinical classification tree versus clinical gestalt in predicting sepsis with extended-spectrum beta-lactamase–producing gram-negative rods
title Comparison of the performance of a clinical classification tree versus clinical gestalt in predicting sepsis with extended-spectrum beta-lactamase–producing gram-negative rods
title_full Comparison of the performance of a clinical classification tree versus clinical gestalt in predicting sepsis with extended-spectrum beta-lactamase–producing gram-negative rods
title_fullStr Comparison of the performance of a clinical classification tree versus clinical gestalt in predicting sepsis with extended-spectrum beta-lactamase–producing gram-negative rods
title_full_unstemmed Comparison of the performance of a clinical classification tree versus clinical gestalt in predicting sepsis with extended-spectrum beta-lactamase–producing gram-negative rods
title_short Comparison of the performance of a clinical classification tree versus clinical gestalt in predicting sepsis with extended-spectrum beta-lactamase–producing gram-negative rods
title_sort comparison of the performance of a clinical classification tree versus clinical gestalt in predicting sepsis with extended-spectrum beta-lactamase–producing gram-negative rods
topic Concise Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9614789/
https://www.ncbi.nlm.nih.gov/pubmed/36310800
http://dx.doi.org/10.1017/ash.2021.253
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