Browsing by Autor "Willmer Diaz-Villalobos"
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Item type: Item , Sepsis Bundle Adherence and Early Vasopressor Administration in Pediatric Septic Shock: Secondary Analysis of Outcomes in a 2023 Multicenter Cohort in Bolivia(Lippincott Williams & Wilkins, 2025) Raúl Copana-Olmos; Nils Cassón; Willmer Diaz-Villalobos; Victor Urquieta-Clavel; Mary Tejerina-Ortiz; M. Céspedes-Lesczinsky; Vladimir Aguilera-Avendaño; Maricruz Fernández-Vidal; Mariel Andrea Forest-Yepez; Danny Blanco-EspejoEarly initiation of vasoactive agents in children with septic shock and timely sepsis bundle completion were independently associated with lower hazard of mortality. Historically, in Bolivia in 2023, bundle adherence was suboptimal, yet feasible interventions were associated with greater odds of better outcomes in pediatric sepsis and septic shock.Item type: Item , Sepsis in Critically Ill Children in Bolivia: Multicenter Retrospective Evaluation of the Phoenix Criteria for Sepsis in a 2023 Cohort(Lippincott Williams & Wilkins, 2025) Raúl Copana-Olmos; Nils Casson-Rodriguez; Willmer Diaz-Villalobos; Victor Urquieta-Clavel; Mary Tejerina-Ortiz; Carol Mendoza-Montoya; Maricruz Fernández-Vidal; Mariel Andrea Forest-Yepez; Danny Blanco-Espejo; Ibeth Rivera-MurguiaIn this 2023, retrospective cohort of PICU patients with sepsis in Bolivia, we have found that the majority met the 2024 Phoenix sepsis criteria, but less than two-thirds met the SIRS-based criteria for diagnosis. However, the respiratory score in the Phoenix criteria overestimated the severity of respiratory dysfunction in more than half of the cohort, likely because the score does not take account of the Andean adaptation to high altitude, with higher oxygen carrying capacity.