Cochrane · systematic review · CD012404
Automated monitoring compared to standard care for the early detection of sepsis in critically ill patients
Warttig, S, Alderson, P, Evans, DJW, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
Emergency and Critical CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
4
No studies
2
Included studies
NR
No studies 2 · 33.3%Ungraded 0 · 0%Very low 4 · 66.7%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Automated monitoring systems compared to standard care for detecting sepsis
Population: participants of any age admitted to the intensive care or critical care unit for any reason (including, but not limited to postsurgery, trauma, stroke, myocardial infarction, arrhythmia, burns, and hypovolaemic or haemorrhagic shock)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Time to initiation of antimicrobial therapy (Time to initiation starts at the time of admission) Automated monitoring systems vs standard care | no estimate extracted | 3 studies · 1200 participants | Very low Downgraded: risk of bias |
Time to initiation of fluid resuscitation (Time to initiation starts at the time of admission) Automated monitoring systems vs standard care | no estimate extracted | NR | No studies |
30‐day mortality* Automated monitoring systems vs standard care | no estimate extracted | NR | Very low Downgraded: risk of bias |
Length of stay in ICU (in days) Automated monitoring systems vs standard care | no estimate extracted | 1 study · 442 participants | Very low Downgraded: risk of bias |
Failed detection of sepsis (as reported by studies) Automated monitoring systems vs standard care | no estimate extracted | 1 study · 560 participants | Very low Downgraded: risk of bias |
Quality of life measured at the latest available time point post‐discharge from ICU (preferred measure SF‐36 then EQ‐5D) Automated monitoring systems vs standard care | no estimate extracted | NR | No studies |