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

Hayden L. Smith; Mohamed A. Elfeki; Dana Lowry; Rebecca Sabates; Molly Ropte; Katherine R. Sittig; Stephanie Finch; Kristina Braun; William Pruett; Aaron Wasson; Kenna Fischman; Jennifer Peterson; Rossana Rosa

doi:10.1017/ash.2021.253

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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

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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

Hayden L. Smith, Mohamed A. Elfeki, Dana Lowry, Rebecca Sabates, Molly Ropte, Katherine R. Sittig, Stephanie Finch, Kristina Braun, William Pruett, Aaron Wasson, …

Antimicrobial Stewardship & Healthcare Epidemiology : ASHE, Vol.2(1), e35

03/07/2022

DOI: 10.1017/ash.2021.253

PMCID: PMC9614789

PMID: 36310800

Appears in UI Libraries Support Open Access

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Abstract

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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Title: Subtitle: Comparison of the performance of a clinical classification tree versus clinical gestalt in predicting sepsis with extended-spectrum beta-lactamase–producing gram-negative rods
Creators: Hayden L. Smith - UnityPoint Health
Mohamed A. Elfeki - UnityPoint Health
Dana Lowry - UnityPoint Health
Rebecca Sabates - UnityPoint Health
Molly Ropte - UnityPoint Health
Katherine R. Sittig - UnityPoint Health
Stephanie Finch - UnityPoint Health
Kristina Braun - UnityPoint Health
William Pruett - UnityPoint Health
Aaron Wasson - UnityPoint Health
Kenna Fischman - UnityPoint Health
Jennifer Peterson - Des Moines University Osteopathic Medical Center
Rossana Rosa - University of Iowa
Resource Type: Journal article
Publication Details: Antimicrobial Stewardship & Healthcare Epidemiology : ASHE, Vol.2(1), e35
DOI: 10.1017/ash.2021.253
PMID: 36310800
PMCID: PMC9614789
NLM abbreviation: Antimicrob Steward Healthc Epidemiol
ISSN: 2732-494X
eISSN: 2732-494X
Publisher: Cambridge University Press
Language: English
Date published: 03/07/2022
Academic Unit: Internal Medicine
Record Identifier: 9984361602002771

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