{"id":"https://openalex.org/W3215960743","doi":"https://doi.org/10.3389/fped.2021.764163","title":"Delayed Presentation and Mortality in Children With Sepsis in a Public Tertiary Care Hospital in Tanzania","display_name":"Delayed Presentation and Mortality in Children With Sepsis in a Public Tertiary Care Hospital in Tanzania","publication_year":2021,"publication_date":"2021-11-30","ids":{"openalex":"https://openalex.org/W3215960743","doi":"https://doi.org/10.3389/fped.2021.764163","mag":"3215960743","pmid":"https://pubmed.ncbi.nlm.nih.gov/34917561","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/8669816"},"language":"en","primary_location":{"id":"doi:10.3389/fped.2021.764163","doi":"https://doi.org/10.3389/fped.2021.764163","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fped.2021.764163","pdf_url":null,"source":{"id":"https://openalex.org/S2596117549","display_name":"Frontiers in Pediatrics","issn_l":"2296-2360","issn":["2296-2360"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3389/fped.2021.764163","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5031292075","display_name":"Audrey Smith","orcid":"https://orcid.org/0000-0003-4252-7006","observed_orcids":["https://orcid.org/0000-0003-4252-7006"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Audrey Marilyn Smith","raw_affiliation_strings":["Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, United States","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029860000","display_name":"Hendry R. Sawe","orcid":"https://orcid.org/0000-0002-0395-5385","observed_orcids":["https://orcid.org/0000-0002-0395-5385"]},"institutions":[{"id":"https://openalex.org/I154840374","display_name":"Muhimbili University of Health and Allied Sciences","ror":"https://ror.org/027pr6c67","country_code":"TZ","type":"education","lineage":["https://openalex.org/I154840374"]}],"countries":["TZ"],"is_corresponding":false,"raw_author_name":"Hendry R. Sawe","raw_affiliation_strings":["Department of Emergency Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania","institution_ids":["https://openalex.org/I154840374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052576862","display_name":"Michael A. Matthay","orcid":"https://orcid.org/0000-0003-3039-8155","observed_orcids":["https://orcid.org/0000-0003-3039-8155"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael A. Matthay","raw_affiliation_strings":["Departments of Medicine and Anesthesia, Cardiovascular Research Institute, University of California, San Francisco, San Francisco, CA, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Medicine and Anesthesia, Cardiovascular Research Institute, University of California, San Francisco, San Francisco, CA, United States","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061495008","display_name":"Brittany Lee Murray","orcid":"https://orcid.org/0000-0002-6201-6951","observed_orcids":["https://orcid.org/0000-0002-6201-6951"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brittany Lee Murray","raw_affiliation_strings":["Department of Pediatrics and Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics and Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA, United States","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091196922","display_name":"Teri Ann Reynolds","orcid":"https://orcid.org/0000-0001-7103-9488","observed_orcids":["https://orcid.org/0000-0001-7103-9488"]},"institutions":[{"id":"https://openalex.org/I4210105654","display_name":"World Health Organization","ror":"https://ror.org/01f80g185","country_code":"CH","type":"government","lineage":["https://openalex.org/I4210105654"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Teri Reynolds","raw_affiliation_strings":["World Health Organization, Geneva, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"World Health Organization, Geneva, Switzerland","institution_ids":["https://openalex.org/I4210105654"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5011324313","display_name":"Teresa Bleakly Kortz","orcid":"https://orcid.org/0000-0003-3326-1736","observed_orcids":["https://orcid.org/0000-0003-3326-1736"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Teresa Bleakly Kortz","raw_affiliation_strings":["Division of Critical Care, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, United States","Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Critical Care, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, United States","institution_ids":["https://openalex.org/I180670191"]},{"raw_affiliation_string":"Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, United States","institution_ids":["https://openalex.org/I180670191"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5031292075"],"corresponding_institution_ids":["https://openalex.org/I180670191"],"apc_list":{"value":2950,"currency":"USD","value_usd":2950},"apc_paid":{"value":2950,"currency":"USD","value_usd":2950},"fwci":0.6985,"has_fulltext":true,"cited_by_count":14,"citation_normalized_percentile":{"value":0.70015321,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"9","issue":null,"first_page":"764163","last_page":"764163"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11961","display_name":"Neonatal and Maternal Infections","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10873","display_name":"Bacterial Infections and Vaccines","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pediatric-sepsis","display_name":"pediatric sepsis","score":1.0},{"id":"https://openalex.org/keywords/delayed-presentation","display_name":"delayed presentation","score":0.949999988079071},{"id":"https://openalex.org/keywords/sepsis-mortality","display_name":"sepsis mortality","score":0.9279999732971191},{"id":"https://openalex.org/keywords/socioeconomic-status","display_name":"socioeconomic status","score":0.6389999985694885},{"id":"https://openalex.org/keywords/systemic-inflammatory-response-syndrome","display_name":"systemic inflammatory response syndrome","score":0.8529999852180481},{"id":"https://openalex.org/keywords/emergency-department","display_name":"emergency department","score":0.609000027179718},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.8619999885559082},{"id":"https://openalex.org/keywords/referral-networks","display_name":"referral networks","score":0.7770000100135803},{"id":"https://openalex.org/keywords/emergency-transportation","display_name":"emergency transport","score":0.8130000233650208},{"id":"https://openalex.org/keywords/parental-education","display_name":"parental education","score":0.550000011920929},{"id":"https://openalex.org/keywords/tanzania","display_name":"Tanzania","score":0.4309999942779541}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9045839309692383},{"id":"https://openalex.org/C2779357621","wikidata":"https://www.wikidata.org/wiki/Q655495","display_name":"Tanzania","level":2,"score":0.8528000116348267},{"id":"https://openalex.org/C2991842025","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Tertiary care","level":2,"score":0.6787149310112},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.6202137470245361},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.48803916573524475},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.45092862844467163},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.39911019802093506},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3356363773345947},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.10784485936164856},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.10515803098678589},{"id":"https://openalex.org/C45355965","wikidata":"https://www.wikidata.org/wiki/Q1643441","display_name":"Socioeconomics","level":1,"score":0.08610579371452332},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.3389/fped.2021.764163","doi":"https://doi.org/10.3389/fped.2021.764163","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fped.2021.764163","pdf_url":null,"source":{"id":"https://openalex.org/S2596117549","display_name":"Frontiers in Pediatrics","issn_l":"2296-2360","issn":["2296-2360"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Pediatrics","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:8669816","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8669816","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Pediatr","raw_type":"Text"},{"id":"pmid:34917561","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34917561","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in pediatrics","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:a5b6b048b2b44fc0be3263f80214ed93","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/a5b6b048b2b44fc0be3263f80214ed93","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Pediatrics, Vol 9 (2021)","raw_type":"article"},{"id":"pmh:oai:escholarship.org:ark:/13030/qt8t65c8h2","doi":null,"is_oa":true,"landing_page_url":"https://escholarship.org/uc/item/8t65c8h2","pdf_url":null,"source":{"id":"https://openalex.org/S4306400115","display_name":"eScholarship (California Digital Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2801248553","host_organization_name":"California Digital Library","host_organization_lineage":["https://openalex.org/I2801248553"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Pediatrics, vol 9","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fped.2021.764163","doi":"https://doi.org/10.3389/fped.2021.764163","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fped.2021.764163","pdf_url":null,"source":{"id":"https://openalex.org/S2596117549","display_name":"Frontiers in Pediatrics","issn_l":"2296-2360","issn":["2296-2360"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Pediatrics","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[{"id":"https://openalex.org/G3826204992","display_name":"Fever Etiology and Prognostic Point-of-Care Biomarkers in African Children with Severe Febrile Illness","funder_award_id":"K23AI144029","funder_id":"https://openalex.org/F4320337355","funder_display_name":"National Institute of Allergy and Infectious Diseases"}],"funders":[{"id":"https://openalex.org/F4320307856","display_name":"World Health Organization","ror":"https://ror.org/01f80g185"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320332622","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54"},{"id":"https://openalex.org/F4320337355","display_name":"National Institute of Allergy and Infectious Diseases","ror":"https://ror.org/043z4tv69"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":41,"referenced_works":["https://openalex.org/W1630981414","https://openalex.org/W1895422116","https://openalex.org/W1924064069","https://openalex.org/W1969530691","https://openalex.org/W1975011372","https://openalex.org/W1988148664","https://openalex.org/W2046999274","https://openalex.org/W2052233685","https://openalex.org/W2059404116","https://openalex.org/W2076277682","https://openalex.org/W2076590961","https://openalex.org/W2080104076","https://openalex.org/W2093274439","https://openalex.org/W2093598389","https://openalex.org/W2096883458","https://openalex.org/W2115743615","https://openalex.org/W2118798331","https://openalex.org/W2121105123","https://openalex.org/W2131097593","https://openalex.org/W2139123549","https://openalex.org/W2154229127","https://openalex.org/W2171475491","https://openalex.org/W2280404143","https://openalex.org/W2327630244","https://openalex.org/W2338082560","https://openalex.org/W2574622941","https://openalex.org/W2581605534","https://openalex.org/W2605152774","https://openalex.org/W2615260131","https://openalex.org/W2777207610","https://openalex.org/W2891115123","https://openalex.org/W2908407982","https://openalex.org/W2942670716","https://openalex.org/W2979767572","https://openalex.org/W2998853022","https://openalex.org/W3006201452","https://openalex.org/W3023757607","https://openalex.org/W3040032704","https://openalex.org/W3082948535","https://openalex.org/W4234702161","https://openalex.org/W4256246247"],"related_works":["https://openalex.org/W2777207610","https://openalex.org/W7170476508","https://openalex.org/W2605152774","https://openalex.org/W2806236471","https://openalex.org/W3213957297","https://openalex.org/W4400074643","https://openalex.org/W4286433086","https://openalex.org/W7201878689","https://openalex.org/W3133519654","https://openalex.org/W7223220274"],"abstract_inverted_index":{"Background:":[0],"Over":[1],"40%":[2],"of":[3,7,15,23,112,158,182,237,258],"the":[4,20,42,81,118,134,141,155,174,256],"global":[5],"burden":[6],"sepsis":[8,19,38,189,265,291],"occurs":[9],"in":[10,35,53,197,252,293],"children":[11,36,183],"under":[12],"5":[13],"years":[14,76],"age,":[16],"making":[17],"pediatric":[18,264,285,290,303],"top":[21],"cause":[22],"death":[24],"for":[25,235,250,263,301],"this":[26,113,253],"age":[27],"group.":[28],"Prior":[29],"studies":[30],"have":[31],"shown":[32],"that":[33],"outcomes":[34],"with":[37,98,188,284],"improve":[39],"by":[40],"minimizing":[41],"time":[43],"between":[44,120,128,143],"symptom":[45],"onset":[46,130],"and":[47,102,131,136,147,164,168,274],"treatment.":[48],"This":[49],"is":[50,61],"a":[51,99],"challenge":[52],"resource-limited":[54],"settings":[55],"where":[56],"access":[57],"to":[58,80,94,116,123,133,186,205,221,225,261,278],"definitive":[59,124,222],"care":[60,125,262,287],"limited.":[62],"Methods:":[63],"A":[64],"secondary":[65],"analysis":[66],"was":[67,115,194,245],"performed":[68],"on":[69],"data":[70],"from":[71,90],"1,803":[72],"patients":[73],"(28":[74],"days\u221214":[75],"old)":[77],"who":[78,184,217,227],"presented":[79,185],"emergency":[82,275],"department":[83],"(ED)":[84],"at":[85],"Muhimbili":[86],"National":[87],"Hospital":[88],"(MNH)":[89],"July":[91],"1,":[92],"2016":[93],"June":[95],"30,":[96],"2017":[97],"suspected":[100],"infection":[101],"\u22652":[103],"clinical":[104],"systemic":[105],"inflammatory":[106],"response":[107],"syndrome":[108],"criteria.":[109],"The":[110],"objective":[111],"study":[114,175],"determine":[117],"relationship":[119],"delayed":[121,148,219],"presentation":[122,132,193,220,244,260],"(>48":[126],"h":[127],"fever":[129],"ED)":[135],"mortality,":[137],"as":[138,140,295,297],"well":[139,296],"association":[142],"socioeconomic":[144],"status":[145],"(SES)":[146],"presentation.":[149],"Multivariable":[150],"logistic":[151],"regression":[152],"models":[153],"tested":[154],"two":[156],"relationships":[157],"interest.":[159],"We":[160],"report":[161],"both":[162],"unadjusted":[163],"adjusted":[165,232],"odds":[166,233],"ratios":[167],"95%":[169],"confidence":[170],"intervals.":[171],"Results:":[172],"During":[173],"period,":[176],"11.3%":[177],"(":[178,199,207,212],"n":[179,200,208],"=":[180,201,209],"203)":[181],"MNH":[187],"died":[190],"inhospital.":[191],"Delayed":[192,243],"more":[195,270],"common":[196],"non-survivors":[198],"90/151,":[202],"60%)":[203],"compared":[204,224],"survivors":[206],"614/1,353,":[210],"45%)":[211],"p":[213],"\u2264":[214],"0.01).":[215],"Children":[216],"had":[218,230],"care,":[223],"those":[226],"did":[228],"not,":[229],"an":[231,246],"ratio":[234],"mortality":[236,251,292],"1.85":[238],"(95%":[239],"CI:":[240],"1.17\u20133.00).":[241],"Conclusions:":[242],"independent":[247],"risk":[248],"factor":[249],"cohort,":[254],"emphasizing":[255],"importance":[257],"timely":[259],"patients.":[266],"Potential":[267],"interventions":[268],"include":[269],"efficient":[271],"referral":[272],"networks":[273],"transportation":[276],"systems":[277],"MNH.":[279],"Additional":[280],"clinics":[281],"or":[282],"hospitals":[283],"critical":[286],"may":[288],"reduce":[289],"Tanzania,":[294],"parental":[298],"education":[299],"programs":[300],"recognizing":[302],"sepsis.":[304]},"counts_by_year":[{"year":2026,"cited_by_count":8},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":2}],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2021-12-06T00:00:00"}