Abstract 338: Determining the Timeliness of Key Resuscitative Interventions Among Pediatric Patients Treated for Septic Shock at a Pediatric Tertiary Care Hospital
Bibliographic record
Abstract
Introduction: Severe sepsis and septic shock (SS) are associated with high mortality and morbidity, and interventions are time-sensitive. Adherence to evidence based guidelines is poor. Objective: To evaluate the time required to deliver components of the American College of Critical Care Medicine guidelines for SS; vascular access, isotonic fluid bolus of 20mL/kg within 15 min, antibiotics within 15 min, and vasoactive medications. Method: A retrospective case series to determine when SS criteria were met (Time Zero) and the timing of recommended therapies for children 29 days to 17 yrs with SS admitted to the intensive care unit at a pediatric hospital. Descriptive statistics are reported as median and ranges. Results: Of 498 admissions between 01/06/2010 and 30/06/2011, 28 (6%) met criteria for SS; 13 (46.4%) in the emergency department, 7 (25%) on a ward and 8 (28.6%) in the ICU. Half (14) were males, median age and weight were 4.4yrs (0-17) and 19kg (2.9-85.9) and 4 (14.3%) patients died. Septic shoc...
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".