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Development and Validation of a Minimum Dataset for a Pediatric Septic Shock Registry: A Descriptive and
Fariba Shabani1, Seyedeh Narjes Ahmadizadeh2, Shahabedin Rahmatizadeh1
1Department of Health Information Technology and Management, School of Allied Medical Sciences Shahid Beheshti University of Medical Sciences Tehran Iran.
Insights
A minimum data set was developed to create a pediatric septic shock registry in Iran. This standardized approach is crucial for improving the care and understanding of severe sepsis in children.
Area of Science:
- Pediatric critical care medicine
- Health informatics
- Clinical data management
Background:
- Pediatric septic shock is a life-threatening condition in children, marked by circulatory dysfunction and cellular damage.
- Effective data management through registries can significantly improve patient care and treatment outcomes.
- Developing a dedicated registry for pediatric septic shock is essential for advancing research and clinical practice in Iran.
Purpose of the Study:
- To develop a comprehensive minimum data set (MDS) for establishing a pediatric septic shock registry.
- To standardize data collection for pediatric septic shock cases in Iran.
- To facilitate improved clinical management and research through a centralized data repository.
Main Methods:
- A descriptive, cross-sectional study conducted in two phases.
- Phase 1: Literature review to identify relevant data elements.
- Phase 2: Delphi technique with ten clinicians to validate and refine the MDS, with data analyzed using SPSS 24.
Main Results:
- An initial set of 190 data elements was categorized into 13 classes and 27 subclasses.
- Following Delphi validation, 183 data elements were finalized for the MDS based on expert consensus.
- The finalized MDS provides a structured framework for data collection on pediatric septic shock.
Conclusions:
- The developed minimum data set is foundational for creating a pediatric septic shock registry in Iran.
- Standardizing data collection is vital for a holistic understanding of pediatric septic shock.
- This initiative will support policymakers, researchers, and healthcare providers in developing targeted interventions and improving patient outcomes.
Background And Aims:
Septic shock is the most severe form of sepsis in children, characterized by circulatory problems, cellular and metabolic damage, and a high risk of mortality. Managing data through a registry can enhance care and treatment follow-up. This study aimed to develop a minimum data set in line with developing a registry for pediatric septic shock in Iran.
Methods:
This descriptive and cross-sectional study was conducted in two phases in 2024. Initially, a literature search was conducted to extract the required data elements from the relevant studies. In the second step, the created minimum data set was validated through the Delphi technique involving ten clinicians. The inclusion criteria for data elements in the registry minimum data set were based on the level of agreement among the experts. Data were analyzed using SPSS 24 software and descriptive statistics.
Results:
The initial phase of the study involved categorizing 190 data elements into 13 main classes and 27 subclasses. In the following step, after validating these elements using the Delphi technique, 183 data elements were included as the required data items of the minimum data set based on experts' opinion.
Conclusion:
This study provides a minimum data set for development of a pediatric septic shock registry. Standardizing data collection in this area is essential for comprehensively understanding septic shock in children. This, in turn, will assist policymakers, planners, researchers, and healthcare providers in developing effective care plans.
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