Management of Sepsis in Resource Limited Settings Using a Delphi Method.

Oxford University Clinical Research Unit, Vietnam

Status: Completed

Conditions: Sepsis

Treatments: Other: Survey

Study type: Observational

Funder types: Other

Identifiers

NCT05909384

APSADelphi_V1.2

Details and patient eligibility

About

Rapid evolution of sepsis syndromes means that timely diagnosis and treatment are critical in improving outcomes but this may be difficult to achieve in many low- and middle- income countries (LMICs) and there is a lack of high quality clinical evidence to guide diagnosis and management in LMIC settings. The wide variability in health systems in LMICs means that additional areas of guidance may be required where staff or facilities are lacking. In the absence of clinical data, to address some of these issues, the investigators aim to use Delphi methodology to obtain experts consensus statements on some specific aspects of sepsis management in LMICs.

Full description

The investigators aim to use a Delphi process to generate expert consensus practice statements in the context of diagnosis and management of sepsis in LMICs, including identification of aspects of sepsis diagnosis and management in LMICs not covered by existing guidelines. The questions will undergo several iterative rounds and will be in multiple-choice or Likert scale format. A study steering group will review the results of each round via video conference and design the questionnaire for the next survey. Summary results of each round will be presented to experts, along with the survey questionnaire for the next round. The survey process will be repeated with the modified questionnaire. The Delphi rounds will continue until the desired consensus and stability are achieved.

Enrollment: 36 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Recognized experts meeting pre-defined criteria (below) from a wide geographical distribution with approximately 70% from LMICs.

  1. Clinical expertise in adult sepsis management, AND

  2. Demonstrated involvement with sepsis related research, educations, policy/protocols, professional activities

     Exclusion Criteria:

Trial design

36 participants in 1 patient group

Expert group

Description:

1. Clinical expertise in adult sepsis management, AND 2. Demonstrated involvement with sepsis related research, educations, policy/protocols, professional activities

Treatment:

Other: Survey