Table E1 Definitions of Septic Shock and Shock reversal
Study Definition of Septic Shock Definition of Shock Reversal
Blood pressure Urine output
(ml/kg/hr) Capillary Refill
Time (secs) Other Santhanam
(13) Tachycardia and poor perfusion defined as decreased peripheral pulses compared to central pulses, altered alertness, CRT >2 secs, mottled extremities and decreased urine output (7)
Normal BP for age > 1 < 2 Warm peripheries
Upadhyay (14) Sepsis and hypotension OR Sepsis and 3 out of decreased pulse volume,
CRT ≥ 3secs, tachycardia and urine output < 1ml/k/hr (5) BP > 5th percentile > 1 < 3 CVP > 10cmH2O, normal HR for age de Oliveira
(15) Severe sepsis (evidence of infection and 2 of hypo-/hyperthermia, tachy- /bradycardia, tachypnoea, WBC count >12000cells/ml3 or < 4000cells/ml3 and at least 1 indicator of organ hypoperfusion: altered mental state, hypoxaemia, lactataemia, bounding pulses, oliguria or hypotension OR fluid refractory septic shock (>40ml/Kg of fluid) or Vasoactive agents (4)
Normal BP for age > 1 < 2 Normal pulses