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Child health
There is an urgent need for evidence-based internationally agreed guidelines for minimising readmissions after paediatric sepsis
  1. Siba Prosad Paul,
  2. Hannah Ruth Walsh
  1. Department of Paediatrics, Torbay Hospital, Torquay, Devon, UK
  1. Correspondence to Dr Siba Prosad Paul, Paediatrics, Torbay Hospital, Torquay, Devon TQ2 7AA, UK; siba.paul{at}

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Commentary on: Carlton E, Kohne J, Shankar-Hari, et al. Readmission diagnoses after paediatric severe sepsis hospitalisation. Crit Care Med 2019;47:583–90.

Implications for practice and research

  • Children with coexisting comorbidities when discharged following severe sepsis have a higher rate of readmission as compared with matched hospitalisations for other acute medical conditions.

  • There is a need for internationally agreed evidence-based guidelines/consensus paper to minimise post-sepsis readmissions through identification of potentially preventable factors, appropriate discharge criteria and parental education.

  • More research is required into strategies towards prevention of readmissions following discharge after an episode of severe sepsis in children.


Sepsis is a leading cause of avoidable death across all age groups.1 Attempts have been made to streamline the management pathways in the UK and elsewhere through publication of national guidelines.1 While robust guidelines exist for management of initial sepsis episodes, strategies to identify and prevent readmissions are necessary. This …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.