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Abstract O-19: PARENTAL PERCEPTIONS OF PEDIATRIC SEPSIS

Zimmerman, J.1; Watson, R.S.1; Kissoon, N.2; Heymann, T.3; Flatley, C.J.4; Gress, J.5

Pediatric Critical Care Medicine: June 2018 - Volume 19 - Issue 6S - p 10
doi: 10.1097/01.pcc.0000537361.03528.79
Oral Abstracts
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1Seattle Children’s Hospital, Pediatric Critical Care Medicine, Seattle, USA

2BC Children’s Hospital and Sunny Hill Health Centre for Children, Department of Pediatrics and Emergency Medicine- UBC, Vancouver, Canada

3Sepsis Alliance, Executive Director, San Diego, USA

4Sepsis Alliance, Founder- Board of Directors, San Diego, USA

5Sepsis Alliance, Board of Directors, San Diego, USA

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Aims & Objectives:

Hierarchal sepsis treatment includes public health measures; early infection identification/treatment; and intensive care organ dysfunction support. With an ultimate goal of minimizing progression to sepsis critical illness, the investigators queried parental knowledge regarding childhood sepsis.

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Methods

An online sepsis awareness survey enrolled USA adults >18 with >one child in the household, 19-22Jun2017. Demographic data are described with summary statistics. Perspectives are compared using n-1 chi-square two proportions analyses. Overall survey margin of error was 2.0% with 95% confidence.

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Results

Mean age of 1008 respondents was 40; 56% were female; 76% were married; 87% had some college education. Half each resided in urban and suburban/rural locations. Only 40% of respondents were very/extremely aware of sepsis, significantly less than for cancer, diabetes, AIDS, and cerebral palsy (all <0.0001). Only 51% identified sepsis as the predominant cause of worldwide childhood mortality. Although 75% could identify stroke, only 28% could identify common signs of sepsis (p<0.0001). 43% believed sepsis is a non-life threatening condition in children; 41% believed children can only acquire sepsis in a hospital; and 42% believed there are no long lasting effects among children surviving sepsis. While 28% knew someone with sepsis, 22% had never heard of sepsis.

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Conclusions

If sepsis is viewed as a common cause of preventable childhood mortality and morbidity, parental and guardian education needs to focus on early recognition of infection, signs/symptoms of sepsis, and knowledge that sepsis typically is community acquired, that it can be lethal, and that children surviving sepsis frequently endure long term sepsis-associated disabilities.

©2018The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies