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

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

Research output: Contribution to journal › Article › peer-review

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.

Original language	English (US)
Article number	e35
Journal	Antimicrobial Stewardship and Healthcare Epidemiology
Volume	2
Issue number	1
DOIs	https://doi.org/10.1017/ash.2021.253
State	Published - Mar 7 2022
Externally published	Yes

Bibliographical note

Publisher Copyright:
© The Author(s), 2022.

Publisher link

10.1017/ash.2021.253

Find It

Find It at U of M Libraries

Cite this

Smith, H. L., Elfeki, M. A., Lowry, D., Sabates, R., Ropte, M., Sittig, K. R., Finch, S., Braun, K., Pruett, W., Wasson, A., Fischman, K., Peterson, J., & Rosa, R. (2022). 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 and Healthcare Epidemiology, 2(1), Article e35. https://doi.org/10.1017/ash.2021.253

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 et al.
In: Antimicrobial Stewardship and Healthcare Epidemiology, Vol. 2, No. 1, e35, 07.03.2022.

Research output: Contribution to journal › Article › peer-review

Smith, HL, Elfeki, MA, Lowry, D, Sabates, R, Ropte, M, Sittig, KR, Finch, S, Braun, K, Pruett, W, Wasson, A, Fischman, K, Peterson, J & Rosa, R 2022, '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 and Healthcare Epidemiology, vol. 2, no. 1, e35. https://doi.org/10.1017/ash.2021.253

@article{807f8883664e48d29388402943452987,

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",

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.",

author = "Smith, \{Hayden L.\} and Elfeki, \{Mohamed A.\} and Dana Lowry and Rebecca Sabates and Molly Ropte and Sittig, \{Katherine R.\} and Stephanie Finch and Kristina Braun and William Pruett and Aaron Wasson and Kenna Fischman and Jennifer Peterson and Rossana Rosa",

note = "Publisher Copyright: {\textcopyright} The Author(s), 2022.",

year = "2022",

month = mar,

day = "7",

doi = "10.1017/ash.2021.253",

language = "English (US)",

volume = "2",

journal = "Antimicrobial Stewardship and Healthcare Epidemiology",

issn = "2732-494X",

publisher = "Cambridge University Press",

number = "1",

}

TY - JOUR

T1 - Comparison of the performance of a clinical classification tree versus clinical gestalt in predicting sepsis with extended-spectrum beta-lactamase-producing gram-negative rods

AU - Smith, Hayden L.

AU - Elfeki, Mohamed A.

AU - Lowry, Dana

AU - Sabates, Rebecca

AU - Ropte, Molly

AU - Sittig, Katherine R.

AU - Finch, Stephanie

AU - Braun, Kristina

AU - Pruett, William

AU - Wasson, Aaron

AU - Fischman, Kenna

AU - Peterson, Jennifer

AU - Rosa, Rossana

PY - 2022/3/7

Y1 - 2022/3/7

N2 - 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.

AB - 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.

UR - https://www.scopus.com/pages/publications/85129842602

UR - https://www.scopus.com/pages/publications/85129842602#tab=citedBy

U2 - 10.1017/ash.2021.253

DO - 10.1017/ash.2021.253

M3 - Article

C2 - 36310800

AN - SCOPUS:85129842602

SN - 2732-494X

VL - 2

JO - Antimicrobial Stewardship and Healthcare Epidemiology

JF - Antimicrobial Stewardship and Healthcare Epidemiology

IS - 1

M1 - e35

ER -

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

Abstract

Bibliographical note

Publisher link

Find It

Other files and links

Fingerprint

Cite this