In addition to the 26 committee members and directors in charge selected from both societies, we received the participation and support of a total of 226 individuals, comprising 85 working group members that included multiple professions (nine nurses, four physiotherapists, two clinical engineers, and two pharmacists) and those with a history of sepsis or critical illness (two, one of which was a nurse) and 115 systematic review members. In this current revision (J-SSCG 2020), the two societies have once again cooperated with one another with the aim of providing support not only to specialists and general clinicians but also multidisciplinary medical professionals to make appropriate decisions to improve the prognosis of patients with sepsis. J-SSCG 2016 actively took up new domains not covered in SSCG 2016, such as imaging diagnosis, body temperature regulation, ICU-acquired weakness (ICU-AW), and post-intensive care syndrome (PICS), providing medical guidelines. At the time of the 2016 revision (J-SSCG 2016), JSICM and the Japanese Association for Acute Medicine (JAAM) worked together to create a high-quality guideline that is easy to understand even for general clinicians, aiming for widespread dissemination. In 2012, the Japanese version of the Surviving Sepsis Campaign Guideline (J-SSCG), which considered the actual circumstances of Japanese clinical settings, was first published by the Japanese Society of Intensive Care Medicine (JSICM). The Surviving Sepsis Campaign Guideline (SSCG) has been revised as an international sepsis clinical practice guideline every 4 years since 2004. Sepsis is a serious illness that affects all age groups, and the social significance of the creation of a high-quality guideline with the objective of providing medical support for this illness is high.
The J-SSCG 2020 is expected to be widely used as a useful bedside guideline in the field of sepsis treatment both in Japan and overseas involving multiple disciplines.Īpproximately 50 million people worldwide die from sepsis each year. We also incorporated visual information for each CQ according to the time course of treatment, and we will also distribute this as an app. The GRADE method was adopted for making recommendations, and the modified Delphi method was used to determine recommendations by voting from all committee members.Īs a result, 79 GRADE-based recommendations, 5 Good Practice Statements (GPS), 18 expert consensuses, 27 answers to background questions (BQs), and summaries of definitions and diagnosis of sepsis were created as responses to 118 CQs. This is a large-scale guideline covering multiple fields thus, in addition to the 25 committee members, we had the participation and support of a total of 226 members who are professionals (physicians, nurses, physiotherapists, clinical engineers, and pharmacists) and medical workers with a history of sepsis or critical illness. These CQs also include those that have been given particular focus within Japan. A total of 118 important clinical issues (clinical questions, CQs) were extracted regardless of the presence or absence of evidence. The J-SSCG 2020 covered a total of 22 areas with four additional new areas (patient- and family-centered care, sepsis treatment system, neuro-intensive treatment, and stress ulcers).
J-SSCG 2016 took up new subjects that were not present in SSCG 2016 (e.g., ICU-acquired weakness, post-intensive care syndrome, and body temperature management).
We aimed to provide high-quality guidelines that are easy to use and understand for specialists, general clinicians, and multidisciplinary medical professionals. The purpose of this guideline is to assist medical staff in making appropriate decisions to improve the prognosis of patients undergoing treatment for sepsis and septic shock. An English-language version of these guidelines was created based on the contents of the original Japanese-language version. The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J-SSCG 2020), a Japanese-specific set of clinical practice guidelines for sepsis and septic shock created as revised from J-SSCG 2016 jointly by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine, was first released in September 2020 and published in February 2021. Journal of Intensive Care volume 9, Article number: 53 ( 2021) The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J-SSCG 2020)