Table 3

Round 2 heat chart to show which items met consensus and their outcomes

SubjectItemsAgree, %Outcome
Sepsis diagnosis<32/40 weeks gestation and/or<1500 g82Include
32–36/40 weeks gestation and/or 1500–2500 g62Exclude
‘Other’ RFBabies born en route to the hospital54Exclude
Mother reports a non-measured fever52Exclude
Major signBilious vomiting with severe abdominal distension88Include
‘Other’ sign/Irritable/inconsolable baby64Exclude
symptomsDo you think a one-off T<35.5°C should be added as a sign of neonatal sepsis in an LIC?44Exclude
Additional RF?Swollen red eyelids with pus88Include
Unconscious86Include, MCTW
Central cyanosis78Include (WHO danger sign)
Poor capillary refill or perfusion68Exclude
Does the baby look ill?60Exclude
ConsiderDrowsy, lethargic or unconscious with T>37.5°C96Include
MeningitisBulging fontanelle with T>37.5°C94Include
Irritability with a high-pitched cry with T>37.5°C92Include
Abnormal movements/twitching or convulsions with T>37.5°C90Include
Abnormal tone with T>37.5°C80Include
HIE diagnosisDo you agree with absent suck and gestation <32/40 weeks as a sign of HIE?42Exclude
How should we describe ‘significant’ birth injury as a risk factor for HIE?20Exclude
RDN diagnosisDo you agree with gestation <34/40 for part of the diagnostic criteria for respiratory distress syndrome?74Include, change to WHO definition
Do you agree with coarse crackles (instead of unilateral crackles) for part of the diagnostic criteria for congenital pneumonia?74Include, change to WHO wording
Do you agree with T>37.5°C or <36.5°C for part of the diagnostic criteria for congenital pneumonia?70Include, change to expert suggestion
  • HIE, hypoxic ischaemic encephalopathy; LICs, low-income countries; MCTW, minor changes to wording; RDN, respiratory distress of the newborn; RF, risk factor; T, temperature.