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...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2022-01-01
|
| Series: | Antimicrobial Stewardship & Healthcare Epidemiology |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2732494X21002539/type/journal_article |
| _version_ | 1811157166389723136 |
|---|---|
| author | 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 |
| author_facet | 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 |
| author_sort | Hayden L. Smith |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-10T05:02:32Z |
| format | Article |
| id | doaj.art-732dc4046f794accba35d0d4b1775892 |
| institution | Directory Open Access Journal |
| issn | 2732-494X |
| language | English |
| last_indexed | 2024-04-10T05:02:32Z |
| publishDate | 2022-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Antimicrobial Stewardship & Healthcare Epidemiology |
| spelling | doaj.art-732dc4046f794accba35d0d4b17758922023-03-09T12:28:16ZengCambridge University PressAntimicrobial Stewardship & Healthcare Epidemiology2732-494X2022-01-01210.1017/ash.2021.253Comparison of the performance of a clinical classification tree versus clinical gestalt in predicting sepsis with extended-spectrum beta-lactamase–producing gram-negative rodsHayden L. Smith0Mohamed A. Elfeki1Dana Lowry2Rebecca Sabates3Molly Ropte4Katherine R. Sittig5https://orcid.org/0000-0002-6800-9103Stephanie Finch6Kristina Braun7William Pruett8Aaron Wasson9Kenna Fischman10Jennifer Peterson11https://orcid.org/0000-0003-3514-1551Rossana Rosa12https://orcid.org/0000-0002-3755-7780Iowa Methodist Medical Center, UnityPoint Health-Des Moines, Des Moines, IowaIowa Methodist Medical Center, UnityPoint Health-Des Moines, Des Moines, Iowa Internal Medicine Department, University of Iowa, Des Moines, IowaIowa Methodist Medical Center, UnityPoint Health-Des Moines, Des Moines, Iowa Internal Medicine Department, University of Iowa, Des Moines, IowaIowa Methodist Medical Center, UnityPoint Health-Des Moines, Des Moines, Iowa Internal Medicine Department, University of Iowa, Des Moines, IowaIowa Methodist Medical Center, UnityPoint Health-Des Moines, Des Moines, Iowa Internal Medicine Department, University of Iowa, Des Moines, IowaIowa Methodist Medical Center, UnityPoint Health-Des Moines, Des Moines, Iowa Internal Medicine Department, University of Iowa, Des Moines, IowaIowa Methodist Medical Center, UnityPoint Health-Des Moines, Des Moines, Iowa Internal Medicine Department, University of Iowa, Des Moines, IowaIowa Methodist Medical Center, UnityPoint Health-Des Moines, Des Moines, Iowa Internal Medicine Department, University of Iowa, Des Moines, IowaIowa Methodist Medical Center, UnityPoint Health-Des Moines, Des Moines, Iowa Internal Medicine Department, University of Iowa, Des Moines, IowaIowa Methodist Medical Center, UnityPoint Health-Des Moines, Des Moines, Iowa Internal Medicine Department, University of Iowa, Des Moines, IowaIowa Methodist Medical Center, UnityPoint Health-Des Moines, Des Moines, Iowa Internal Medicine Department, University of Iowa, Des Moines, IowaDes Moines University College of Osteopathic Medicine, Des Moines, IowaInternal Medicine Department, University of Iowa, Des Moines, Iowa Infectious Diseases Service, UnityPoint Health–Des Moines, Des Moines, IowaA 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.https://www.cambridge.org/core/product/identifier/S2732494X21002539/type/journal_article |
| spellingShingle | 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 Comparison of the performance of a clinical classification tree versus clinical gestalt in predicting sepsis with extended-spectrum beta-lactamase–producing gram-negative rods Antimicrobial Stewardship & Healthcare Epidemiology |
| 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 |
| url | https://www.cambridge.org/core/product/identifier/S2732494X21002539/type/journal_article |
| work_keys_str_mv | AT haydenlsmith comparisonoftheperformanceofaclinicalclassificationtreeversusclinicalgestaltinpredictingsepsiswithextendedspectrumbetalactamaseproducinggramnegativerods AT mohamedaelfeki comparisonoftheperformanceofaclinicalclassificationtreeversusclinicalgestaltinpredictingsepsiswithextendedspectrumbetalactamaseproducinggramnegativerods AT danalowry comparisonoftheperformanceofaclinicalclassificationtreeversusclinicalgestaltinpredictingsepsiswithextendedspectrumbetalactamaseproducinggramnegativerods AT rebeccasabates comparisonoftheperformanceofaclinicalclassificationtreeversusclinicalgestaltinpredictingsepsiswithextendedspectrumbetalactamaseproducinggramnegativerods AT mollyropte comparisonoftheperformanceofaclinicalclassificationtreeversusclinicalgestaltinpredictingsepsiswithextendedspectrumbetalactamaseproducinggramnegativerods AT katherinersittig comparisonoftheperformanceofaclinicalclassificationtreeversusclinicalgestaltinpredictingsepsiswithextendedspectrumbetalactamaseproducinggramnegativerods AT stephaniefinch comparisonoftheperformanceofaclinicalclassificationtreeversusclinicalgestaltinpredictingsepsiswithextendedspectrumbetalactamaseproducinggramnegativerods AT kristinabraun comparisonoftheperformanceofaclinicalclassificationtreeversusclinicalgestaltinpredictingsepsiswithextendedspectrumbetalactamaseproducinggramnegativerods AT williampruett comparisonoftheperformanceofaclinicalclassificationtreeversusclinicalgestaltinpredictingsepsiswithextendedspectrumbetalactamaseproducinggramnegativerods AT aaronwasson comparisonoftheperformanceofaclinicalclassificationtreeversusclinicalgestaltinpredictingsepsiswithextendedspectrumbetalactamaseproducinggramnegativerods AT kennafischman comparisonoftheperformanceofaclinicalclassificationtreeversusclinicalgestaltinpredictingsepsiswithextendedspectrumbetalactamaseproducinggramnegativerods AT jenniferpeterson comparisonoftheperformanceofaclinicalclassificationtreeversusclinicalgestaltinpredictingsepsiswithextendedspectrumbetalactamaseproducinggramnegativerods AT rossanarosa comparisonoftheperformanceofaclinicalclassificationtreeversusclinicalgestaltinpredictingsepsiswithextendedspectrumbetalactamaseproducinggramnegativerods |