000			03270nam a22004457a 4500
008			240807s20242024 xxu||||| |||| 00| 0 eng d
022			_a1546-1440
024			_aS1546-1440(24)00270-9 [pii]
040			_aOvid MEDLINE(R)
099			_a38823951
245			_aACR Appropriateness Criteria R Sepsis.
251			_aJournal of the American College of Radiology. 21(6S):S292-S309, 2024 Jun.
252			_aJ. Am. Coll. Radiol.. 21(6S):S292-S309, 2024 Jun.
253			_aJournal of the American College of Radiology : JACR
260			_c2024
260			_fFY2024
260			_p2024 Jun
265			_sppublish
265			_tMEDLINE
266			_d2024-08-07
266			_z2024/06/01 21:02
520			_aSepsis is defined as a life-threatening organ dysfunction caused by a dysregulated host response to infection. A search for the underlying cause of infection typically includes radiological imaging as part of this investigation. This document focuses on thoracic and abdominopelvic causes of sepsis. In 2017, the global incidence of sepsis was estimated to be 48.9 million cases, with 11 million sepsis-related deaths (accounting for nearly 20% of all global deaths); therefore, understanding which imaging modalities and types of studies are acceptable or not acceptable is imperative. The 5 variants provided include the most commonly encountered scenarios in the setting of sepsis along with recommendations and data for each imaging study. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation. Copyright © 2024 American College of Radiology. Published by Elsevier Inc. All rights reserved.
546			_aEnglish
650			_a*Evidence-Based Medicine
650			_a*Sepsis
650			_a*Societies, Medical
650			_aDiagnostic Imaging/st [Standards]
650			_aHumans
650			_aSepsis/dg [Diagnostic Imaging]
650			_aUnited States
650			_zAutomated
651			_aMedStar Washington Hospital Center
656			_aMedicine/Pulmonary-Critical Care
657			_aJournal Article
657			_aPractice Guideline
700			_aHolley, Aaron B _bMWHC
790			_aBrixey AG, Fung A, De Leon AD, Walker CM, Porter KK, Khatri G, Bang TJ, Batra K, Carter BW, Christensen JD, Cox CW, Davis AM, Holley AB, Kandathil A, Little BP, Madan R, Mehta P, Moore WH, Shroff GS, Uyeda JW, Nikolaidis P, Kamel IR, Chung JH
856			_uhttps://dx.doi.org/10.1016/j.jacr.2024.02.029 _zhttps://dx.doi.org/10.1016/j.jacr.2024.02.029
942			_cART _dArticle
999			_c14600 _d14600