Study inclusion criteria
Study population entry criteria | ‘Shock’ criteria | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Study | Age range | Severe illness | Blood pressure | Pulse rate | Capillary refill | Extremities | Peripheral pulse | Urine output | Mental status | |||||||
Maitland 2011 | 60 days to 12 years | Severe febrile illness complicated by impaired consciousness (prostration or coma), respiratory distress (increased work of breathing) or both | and | – | or | Severe tachycardia* | or | ≥3 s | or | Lower limb temperature gradient | or | Weak radial pulse volume | – | – | – | – |
Oliveira 2008 | Median age: 36–47 months | Sepsis was defined using the Society of Critical Care Medicine Consensus Conference22 | and | <5th centile for age | or | – | or | <1 s or >3 s | or | Mottled/cool | or | Decreased | or | <1 mL/kg/h | or | Altered |
Han 2003 | 1–131 months | Suspected infection as manifested by hyperthermia or hypothermia | and | <5th centile for age | or | – | or | >3 s | or | Mottled | or | Diminished | or | – | Decreased | |
Carcillo 1991 | Median age 13.5 months (range 1–192 months) | Sepsis was diagnosed if the patient had a positive blood culture or if a pathological organism from a tissue site was identified | and | <2 SD below mean | + 3 of | Tachycardia† | or | – | or | Mottled/cool | or | Decreased | or | <1 mL/kg/h‡ | – | – |
Santhanam 2008 | 1–12 months | Septic shock was defined using the Sepsis Consensus Conference criteria23 | and | – | or | Tachycardia | + 1 of | >2 s | or | Mottled/cool | or | Decreased | or | Decreased | or | Altered alertness |
Carcillo 2009 | Newborn to 18 years | Unclear from the information provided†† | and | <5th centile for age | or | Tachycardia | or | >3 s | or | Mottled | or | – | or | – | or | Altered |
*>180 bpm in children younger than 12 months of age, >160 bpm in children 1–5 years of age, or 140 bpm in children older than 5 years of age.
†Heart rate >180 bpm for patients less than 5 years of age; and >160 bpm for patients at least 5 years of age.
††No definition of sepsis provided.
‡Or less than 20 mL/h in children weighing more than 20 kg.