Open Access
The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J‐SSCG 2020)
Moritoki Egi
1
,
Hiroshi Ogura
2
,
Tomoaki Yatabe
3
,
Kazuaki Atagi
4
,
Inoue Shigeaki
5
,
Toshiaki Iba
6
,
Yasuyuki Kakihana
7
,
Tatsuya Kawasaki
8
,
Shigeki Kushimoto
9
,
Yasuhiro Kuroda
10
,
Joji Kotani
11
,
Nobuaki Shime
12
,
Takumi Taniguchi
13
,
Ryosuke Tsuruta
14
,
Kent Doi
15
,
MATSUYUKI DOI
16
,
Taka-aki Nakada
17
,
Masaki Nakane
18
,
Seitaro Fujishima
19
,
Naoto Hosokawa
20
,
Yoshiki Masuda
21
,
Asako Matsushima
22
,
Naoyuki Matsuda
23
,
Kazuma Yamakawa
24
,
Yoshitaka Hara
3
,
Masaaki Sakuraya
25
,
Shinichiro Ohshimo
12
,
Yoshitaka Aoki
16
,
Mai Inada
26
,
Yutaka Umemura
27
,
Yusuke Kawai
28
,
Yutaka Kondo
29
,
Hiroki Saito
30
,
Shunsuke Taito
31
,
Chikashi Takeda
32
,
Takero Terayama
33
,
Hideo Tohira
34
,
Hideki HASHIMOTO
35
,
Kei Hayashida
36
,
Toru Hifumi
37
,
Tomoya Hirose
38
,
Tatsuma Fukuda
39
,
Tomoko Fujii
40
,
Shinya Miura
41
,
Hideto Yasuda
42
,
Toshikazu Abe
43
,
Kohkichi Andoh
44
,
Yuki Iida
45
,
Tadashi ISHIHARA
29
,
KENTARO IDE
46
,
Kenta Ito
47
,
Yusuke Ito
48
,
Yu Inata
49
,
Akemi Utsunomiya
50
,
Takeshi Unoki
51
,
Koji Endo
52
,
Akira Ouchi
53
,
Masayuki Ozaki
54
,
Satoshi Ono
55
,
Morihiro Katsura
56
,
Atsushi Kawaguchi
57
,
Yusuke Kawamura
58
,
Daisuke Kudo
9
,
Kenji KUBO
59
,
Kiyoyasu Kurahashi
60
,
Hideaki Sakuramoto
53
,
Akira Shimoyama
42
,
TAKESHI SUZUKI
61
,
Shusuke Sekine
62
,
Motohiro Sekino
63
,
Nozomi Takahashi
17
,
Sei Takahashi
64
,
Hiroshi Takahashi
65
,
Takashi Tagami
66
,
Goro Tajima
67
,
Hiroomi Tatsumi
21
,
Masanori TANI
68
,
Asuka Tsuchiya
69
,
Yusuke Tsutsumi
69
,
Takaki Naito
70
,
Masaharu Nagae
71
,
Ichiro Nagasawa
72
,
Kensuke Nakamura
73
,
Tetsuro Nishimura
74
,
Shin Nunomiya
75
,
Yasuhiro Norisue
76
,
Satoru Hashimoto
77
,
Daisuke Hasegawa
3
,
Junji Hatakeyama
78
,
Naoki HARA
79
,
Naoki Higashibeppu
80
,
Nana Furushima
81
,
Hirotaka Furusono
82
,
Yujiro Matsuishi
83
,
Tasuku Matsuyama
84
,
Yusuke Minematsu
85
,
Ryoichi Miyashita
86
,
Yuji Miyatake
87
,
Megumi Moriyasu
88
,
Toru Yamada
89
,
Hiroyuki Yamada
90
,
Ryo Yamamoto
91
,
Takeshi Yoshida
92
,
Yuhei Yoshida
93
,
Jumpei Yoshimura
27
,
Ryuichi Yotsumoto
94
,
Hiroshi Yonekura
95
,
Takeshi Wada
96
,
Eizo Watanabe
97
,
Makoto AOKI
98
,
Hideki Asai
99
,
Takakuni ABE
100
,
Yutaka IGARASHI
101
,
Naoya Iguchi
102
,
Masami Ishikawa
103
,
Go Ishimaru
104
,
Shutaro Isokawa
37
,
Ryuta ITAKURA
105
,
Hisashi Imahase
106
,
Haruki Imura
107, 108
,
Takashi Irinoda
109
,
Kenji Uehara
110
,
Noritaka Ushio
111
,
Takeshi Umegaki
112
,
Yuko Egawa
113
,
Yuki Enomoto
114
,
Kohei Ota
12
,
Yoshifumi Ohchi
100
,
Takanori Ohno
115
,
Hiroyuki Ohbe
116
,
Kazuyuki Oka
117
,
Nobunaga Okada
84
,
Yohei Okada
118
,
Hiromu Okano
119
,
JUN OKAMOTO
120
,
Hiroshi Okuda
121
,
Takayuki Ogura
122
,
Yu Onodera
123
,
Yuhta Oyama
124
,
Motoshi KAINUMA
125
,
Eisuke Kako
126
,
Masahiro Kashiura
42
,
Hiromi KATO
16
,
Akihiro Kanaya
127
,
Tadashi Kaneko
128
,
Keita Kanehata
111
,
Ken-ichi Kano
129
,
Hiroyuki Kawano
130
,
Kazuya Kikutani
12
,
Hitoshi Kikuchi
131
,
Takahiro Kido
132
,
Sho Kimura
68
,
Hiroyuki Koami
133
,
Daisuke KOBASHI
111
,
Iwao SAIKI
62
,
Masahito Sakai
134
,
Ayaka Sakamoto
135
,
Tetsuya SATO
109
,
Yasuhiro Shiga
136
,
Manabu Shimoto
118
,
Shinya Shimoyama
137
,
Tomohisa Shoko
138
,
Yoh Sugawara
139
,
Atsunori Sugita
140
,
Satoshi Suzuki
141
,
Yuji Suzuki
16
,
Tomohiro Suhara
142
,
Kenji Sonota
143
,
Shuhei Takauji
144
,
Kohei Takashima
46
,
Sho Takahashi
145
,
Yoko Takahashi
146
,
Jun Takeshita
147
,
Yuuki Tanaka
148
,
Akihito Tampo
144
,
Taichiro Tsunoyama
149
,
Kenichi Tetsuhara
150
,
Kentaro Tokunaga
151
,
Yoshihiro Tomioka
152
,
Kentaro Tomita
153
,
Naoki Tominaga
101
,
Mitsunobu Toyosaki
91
,
Yukitoshi Toyoda
154
,
Hiromichi Naito
155
,
Isao Nagata
156
,
Tadashi Nagato
157
,
Yoshimi Nakamura
158
,
Yuki Nakamori
95
,
Isao Nahara
159
,
Hiromu Naraba
73
,
Chihiro Narita
160
,
Norihiro Nishioka
161
,
Tomoya Nishimura
111
,
Kei Nishiyama
162
,
Tomohisa Nomura
163
,
Taiki Haga
164
,
Yoshihiro Hagiwara
165
,
Katsuhiko HASHIMOTO
166
,
Takeshi Hatachi
49
,
Toshiaki Hamasaki
167
,
Takuya Hayashi
68
,
Minoru Hayashi
129
,
Atsuki Hayamizu
168
,
Go Haraguchi
169
,
Yohei Hirano
29
,
Ryo Fujii
170
,
Motoki Fujita
14
,
Naoyuki Fujimura
171
,
Hiraku Funakoshi
76
,
Masahito Horiguchi
172
,
Jun Maki
173
,
Naohisa Masunaga
174
,
Yosuke Matsumura
175
,
Takuya Mayumi
176
,
Keisuke Minami
177
,
Yuya Miyazaki
178
,
Kazuyuki Miyamoto
179
,
Teppei Murata
180
,
Machi Yanai
181
,
Takao Yano
182
,
Kohei Yamada
183
,
Naoki Yamada
184
,
Tomonori Yamamoto
4
,
Shodai Yoshihiro
185
,
Hiroshi Tanaka
29
,
Osamu Nishida
3
2
4
Department of Intensive Care Unit Nara Prefectural General Medical Center Nara Japan
|
5
8
Department of Pediatric Critical Care Shizuoka Children's Hospital Shizuoka Japan
|
20
Department of Infectious Diseases Kameda Medical Center Kamogawa Japan
|
21
25
Department of Emergency and Intensive Care Medicine JA Hiroshima General Hospital Hatsukaichi Japan
|
26
Member of Japanese Association for Acute Medicine Tokyo Japan
|
35
Department of Emergency and Critical Care Medicine/Infectious Disease Hitachi General Hospital Hitachi Japan
|
37
40
Intensive Care Unit Jikei University Hospital Tokyo Japan
|
43
Department of Emergency and Critical Care Medicine Tsukuba Memorial Hospital Tsukuba Japan
|
44
Division of Anesthesiology Division of Intensive Care Division of Emergency and Critical Care Sendai City Hospital Sendai Japan
|
45
Department of Physical Therapy School of Health Sciences Toyohashi Sozo University Toyohashi Japan
|
47
Department of General Pediatrics Aichi Children's Health and Medical Center Obu Japan
|
48
Department of Infectious Disease Hyogo Prefectural Amagasaki General Medical Center Amagasaki Japan
|
49
Department of Intensive Care Medicine Osaka Women's and Children's Hospital Izumi Japan
|
53
College of Nursing Ibaraki Christian University Hitachi Japan
|
54
Department of Emergency and Critical Care Medicine Komaki City Hospital Komaki Japan
|
55
Gastroenterological Center Shinkuki General Hospital Kuki Japan
|
56
Department of Surgery Okinawa Chubu Hospital Uruma Japan
|
58
Department of Rehabilitation Showa General Hospital Tokyo Japan
|
59
Department of Emergency Medicine Department of Infectious Diseases Japanese Red Cross Wakayama Medical Center Wakayama Japan
|
65
Department of Cardiology Steel Memorial Muroran Hospital Muroran Japan
|
69
Department of Emergency and Critical Care Medicine National Hospital Organization Mito Medical Center Ibaraki Japan
|
73
Department of Emergency and Critical Care Medicine Hitachi General Hospital Hitachi Japan
|
76
Department of Emergency and Critical Care Medicine Tokyo Bay Urayasu Ichikawa Medical Center Urayasu Japan
|
78
Department of Emergency and Critical Care Medicine National Hospital Organization Tokyo Medical Center Tokyo Japan
|
79
Department of Pharmacy Yokohama Rosai Hospital Yokohama Japan
|
87
Department of Clinical Engineering Kakogawa Central City Hospital Kakogawa Japan
|
91
97
Department of Emergency and Critical Care Medicine Eastern Chiba Medical Center Togane Japan
|
103
Department of Anesthesiology, Emergency and Critical Care Medicine Kure Kyosai Hospital Kure Japan
|
104
Department of General Internal Medicine Soka Municipal Hospital Soka Japan
|
105
Department of Emergency and Critical Care Medicine Tokyo Metropolitan Children’s Medical Center Tokyo Japan
|
106
107
Department of Infectious Diseases Rakuwakai Otowa Hospital
110
Department of Anesthesiology National Hospital Organization Iwakuni Clinical Center Iwakuni Japan
|
111
Advanced Medical Emergency Department and Critical Care Center Japan Red Cross Maebashi Hospital Maebashi Japan
|
113
Advanced Emergency and Critical Care Center Saitama Red Cross Hospital Saitama Japan
|
115
117
Shimane Advanced Trauma Center Izumo Japan
|
120
Department of ER Hashimoto Municipal Hospital Hashimoto Japan
|
122
Tochigi prefectural Emergency and Critical Care Center Imperial Gift Foundation Saiseikai Utsunomiya Hospital Utsunomiya Japan
|
124
Dialysis Center Department of Internal Medicine Kichijoji Asahi Hospital Tokyo Japan
|
125
Anesthesiology, Emergency Medicine, and Intensive Care Division Inazawa Municipal Hospital Inazawa Japan
|
127
Department of Anesthesiology Sendai Medical Center Sendai Japan
|
130
Department of Gastroenterological Surgery Onga Hospital Fukuoka Japan
|
131
Department of Emergency and Critical Care Medicine Seirei Mikatahara General Hospital Hamamatsu Japan
|
134
Department of General Medicine Shintakeo Hospital Takeo Japan
|
135
143
Department of Intensive Care Medicine Miyagi Children's Hospital Sendai Japan
|
145
Department of Cardiology Fukuyama City Hospital Fukuyama Japan
|
146
Department of General Internal Medicine Koga General Hospital Koga Japan
|
147
Department of Anesthesiology Osaka Women's and Children's Hospital Izumi Japan
|
148
Fukuoka Prefectural Psychiatric Center Dazaifu Hospital Dazaifu Japan
|
152
Department of Anesthesiology and Intensive Care Unit Todachuo General Hospital Toda Japan
|
154
Department of Emergency and Critical Care Medicine Saiseikai Yokohamashi Tobu Hospital Yokohama Japan
|
156
Intensive Care Unit Yokohama City Minato Red Cross Hospital Yokohama Japan
|
157
Department of Respiratory Medicine Tokyo Yamate Medical center Tokyo Japan
|
158
Department of Emergency and Critical Care Medicine Japanese Red Cross Kyoto Daini Hospital Kyoto Japan
|
159
Department of Anesthesiology and Critical Care Medicine Nagoya Daini Red Cross Hospital Nagoya Japan
|
163
165
Department of Emergency and Critical Care Medicine Saiseikai Utsunomiya Hospital Utsunomiya Japan
|
167
Department of Emergency Medicine Japanese Red Cross Society Wakayama Medical Center Wakayama Japan
|
168
Department of Emergency Medicine Saitama Saiseikai Kurihashi Hospital Kuki Japan
|
169
Division of Intensive Care Unit Sakakibara Heart Institute Tokyo Japan
|
170
Department of Emergency Medicine and Critical Care Medicine Tochigi Prefectural Emergency and Critical Care Center Imperial Foundation Saiseikai Utsunomiya Hospital Utsunomiya Japan
|
171
Department of Anesthesiology St. Mary’s Hospital Our Lady of the Snow Social Medical Corporation Kurume Japan
|
172
Department of Emergency and Critical Care Medicine Japanese Red Cross Kyoto Daiichi Hospital Kyoto Japan
|
175
Department of Intensive Care Chiba Emergency Medical Center Chiba Japan
|
176
Department of Internal Medicine Kanazawa Municipal Hospital Kanazawa Japan
|
177
Ishikawa Prefectual Central Hospital Emergency and Critical Care Center Kanazawa Japan
|
178
Department of Emergency and General Internal Medicine Saiseikai Kawaguchi General Hospital Kawaguchi Japan
|
182
Department of Critical Care and Emergency Medicine Miyazaki Prefectural Nobeoka Hospital Nobeoka Japan
|
185
Pharmaceutical Department JA Hiroshima General Hospital Hatsukaichi Japan
|
Publication type: Journal Article
Publication date: 2021-01-01
DOI:
10.1002/ams2.659
PubMed ID:
34484801
Abstract
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. An English-language version of these guidelines was created based on the contents of the original Japanese-language version. 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. We aimed to provide high-quality guidelines that are easy to use and understand for specialists, general clinicians, and multidisciplinary medical professionals. J-SSCG 2016 took up new subjects that were not present in SSCG 2016 (e.g., ICU-acquired weakness [ICU-AW], post-intensive care syndrome [PICS], and body temperature management). 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). A total of 118 important clinical issues (clinical questions, CQs) were extracted regardless of the presence or absence of evidence. These CQs also include those that have been given particular focus within Japan. 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. The GRADE method was adopted for making recommendations, and the modified Delphi method was used to determine recommendations by voting from all committee members. As 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. 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 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.
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Metrics
57
Total citations:
57
Citations from 2024:
28
(49.12%)
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Egi M. et al. The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J‐SSCG 2020) // Acute Medicine & Surgery. 2021. Vol. 8. No. 1.
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Egi M. et al. The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J‐SSCG 2020) // Acute Medicine & Surgery. 2021. Vol. 8. No. 1.
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@article{2021_Egi,
author = {Moritoki Egi and Hiroshi Ogura and Tomoaki Yatabe and Kazuaki Atagi and Inoue Shigeaki and Toshiaki Iba and Yasuyuki Kakihana and Tatsuya Kawasaki and Shigeki Kushimoto and Yasuhiro Kuroda and Joji Kotani and Nobuaki Shime and Takumi Taniguchi and Ryosuke Tsuruta and Kent Doi and MATSUYUKI DOI and Taka-aki Nakada and Masaki Nakane and Seitaro Fujishima and Naoto Hosokawa and Yoshiki Masuda and Asako Matsushima and Naoyuki Matsuda and Kazuma Yamakawa and Yoshitaka Hara and Masaaki Sakuraya and Shinichiro Ohshimo and Yoshitaka Aoki and Mai Inada and Yutaka Umemura and Yusuke Kawai and Yutaka Kondo and Hiroki Saito and Shunsuke Taito and Chikashi Takeda and Takero Terayama and Hideo Tohira and Hideki HASHIMOTO and Kei Hayashida and Toru Hifumi and Tomoya Hirose and Tatsuma Fukuda and Tomoko Fujii and Shinya Miura and Hideto Yasuda and Toshikazu Abe and Kohkichi Andoh and Yuki Iida and Tadashi ISHIHARA and KENTARO IDE and others},
title = {The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J‐SSCG 2020)},
journal = {Acute Medicine & Surgery},
year = {2021},
volume = {8},
publisher = {Wiley},
month = {jan},
url = {https://doi.org/10.1002/ams2.659},
number = {1},
doi = {10.1002/ams2.659}
}