Sepsis & infection

Prognostic Accuracy of the Phoenix Sepsis Criteria for Mortality in Children With Suspected Infection: A Systematic Review and Meta-Analysis

Crit Care MedPublished Systematic review and meta-analysis of prognostic accuracy studies

Pooled result · Prognostic accuracy for in-hospital mortalityResult — go to the resultDifference 0.10 95% CI 0.04–0.19

Authors' conclusion

The PSC demonstrates good prognostic accuracy for mortality and outperforms the IPSCC criteria.

Study context

Population
Children younger than 18 years with suspected infection in hospital settings15 studies (16 cohorts), encounters
Participants
2,601,038 participants
Comparison
Phoenix Sepsis Criteria (PSC) vs International Pediatric Sepsis Consensus Conference (IPSCC)
Outcome
Prognostic accuracy for in-hospital mortality
Methodological detailsQUADAS-2 quality assessment
  • QUADAS-2 quality assessment

Pooled result

As reported in the abstract

Difference

0.10

95% CI 0.04–0.19

By group

PSC

Pooled sensitivity
0.77 (95% CI, 0.67-0.85)
Specificity
0.73 (95% CI, 0.51-0.87)
Diagnostic odds ratio
9.2 (95% CI, 5.1-16.8)
AUC
0.81 (95% CI, 0.75-0.84)

IPSCC

0.71

AUC

PSC vs IPSCC
difference 0.10 (95% CI 0.04–0.19)

Further pooled results

OutcomeICUED
PSC specificity by setting (subgroup)0.480.99

Original publication

Prognostic Accuracy of the Phoenix Sepsis Criteria for Mortality in Children With Suspected Infection: A Systematic Review and Meta-Analysis. Crit Care Med. Published 5 August 2026. doi:10.1097/ccm.0000000000007312

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