{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T06:31:56Z","timestamp":1768631516303,"version":"3.49.0"},"reference-count":23,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"unspecified","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,12,21]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The objective of this scoping review is to identify and describe factors that affect access to post-sepsis care. Considering the burden faced by sepsis survivors, it is important to understand the facilitators and barriers to accessing post-sepsis care to facilitate the design and implementation of patient-centred and equitable pathways to care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>This scoping review will include studies that consider individuals who have experienced sepsis and any factors that may affect access to care, including comorbidities, discharge setting and social determinants of health. A comprehensive search of MEDLINE, Embase, Emcare, HealthSTAR and Scopus will be conducted. The extracted data will be summarised and presented thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>Approval from a research ethics board is not required for this review as it is a synthesis of information from studies where the primary investigators have already received approval from their respective ethics boards. Once complete, the review will be submitted for publication in a peer-reviewed journal, and the findings will be shared to local and national forums.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration details<\/jats:title>\n                    <jats:p>\n                      This review has been uploaded and registered under Open Science Framework.\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/doi.org\/10.17605\/OSF.IO\/JMFW2\">https:\/\/doi.org\/10.17605\/OSF.IO\/JMFW2<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-110444","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T19:10:34Z","timestamp":1768590634000},"page":"e110444","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Factors associated with access to post-sepsis care: a scoping review protocol"],"prefix":"10.1136","volume":"16","author":[{"given":"Katherine","family":"Kolesnik","sequence":"first","affiliation":[{"name":"Mary Heersink School of Global Health and Social Medicine, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1327-2203","authenticated-orcid":false,"given":"Fatima","family":"Sheikh","sequence":"additional","affiliation":[{"name":"Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan","family":"MacIsaac","sequence":"additional","affiliation":[{"name":"Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9912-3606","authenticated-orcid":false,"given":"Alison","family":"Fox-Robichaud","sequence":"additional","affiliation":[{"name":"Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada"},{"name":"Department of Medicine, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"2026011611102666000_16.1.e110444.1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.0287"},{"key":"2026011611102666000_16.1.e110444.2","unstructured":"Clinical management of sepsis. World Health Organization; 2025. Available: https:\/\/www.who.int\/teams\/integrated-health-services\/clinical-services-and-systems\/clinical-management-of-sepsis"},{"key":"2026011611102666000_16.1.e110444.3","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1097\/CPM.0000000000000254","article-title":"Readmissions Among Sepsis Survivors: Risk Factors and Prevention","volume":"25","author":"Goodwin","year":"2018","journal-title":"Clin Pulm Med"},{"key":"2026011611102666000_16.1.e110444.4","doi-asserted-by":"crossref","DOI":"10.1186\/1472-6963-12-432","article-title":"Long-term survival and healthcare utilization outcomes attributable to sepsis and pneumonia","volume":"12","author":"Dick","year":"2012","journal-title":"BMC Health Serv Res"},{"key":"2026011611102666000_16.1.e110444.5","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000503"},{"key":"2026011611102666000_16.1.e110444.6","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.34290","article-title":"Epidemiology and Costs of Postsepsis Morbidity, Nursing Care Dependency, and Mortality in Germany, 2013 to 2017","volume":"4","author":"Fleischmann-Struzek","year":"2021","journal-title":"JAMA Netw Open"},{"key":"2026011611102666000_16.1.e110444.7","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-019-05908-3"},{"key":"2026011611102666000_16.1.e110444.8","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201411-504OC"},{"key":"2026011611102666000_16.1.e110444.9","doi-asserted-by":"crossref","DOI":"10.1186\/s13054-024-05108-6","article-title":"High-cost users after sepsis: a population-based observational cohort study","volume":"28","author":"Barrett","year":"2024","journal-title":"Crit Care"},{"key":"2026011611102666000_16.1.e110444.10","doi-asserted-by":"crossref","first-page":"6493","DOI":"10.2147\/IDR.S390947","article-title":"Understanding Post-Sepsis Syndrome: How Can Clinicians Help?","volume":"16","author":"van der Slikke","year":"2023","journal-title":"Infect Drug Resist"},{"key":"2026011611102666000_16.1.e110444.11","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3182373115"},{"key":"2026011611102666000_16.1.e110444.12","doi-asserted-by":"crossref","first-page":"353","DOI":"10.4037\/ajcc2024947","article-title":"Readmissions in Sepsis Survivors: Discharge Setting Risks","volume":"33","author":"Hartley","year":"2024","journal-title":"Am J Crit Care"},{"key":"2026011611102666000_16.1.e110444.13","unstructured":"World Health Organization . Social determinants of health. n.d. Available: https:\/\/www.who.int\/health-topics\/social-determinants-of-health#tab=tab_1"},{"key":"2026011611102666000_16.1.e110444.14","doi-asserted-by":"crossref","first-page":"412","DOI":"10.2106\/JBJS.21.00496","article-title":"The impact of social determinants of health on 30 and 90-day readmission rates after spine surgery","volume":"104","author":"Mohanty","year":"2022","journal-title":"J Bone Joint Surg"},{"key":"2026011611102666000_16.1.e110444.15","article-title":"Social Determinants of Health Associated With the Development of Sepsis in Adults: A Scoping Review","volume":"4","author":"Sheikh","year":"2022","journal-title":"Crit Care Explor"},{"key":"2026011611102666000_16.1.e110444.16","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1055\/s-0044-1787993","article-title":"Recovery from Sepsis: Management beyond Acute Care","volume":"45","author":"Andersen","year":"2024","journal-title":"Semin Respir Crit Care Med"},{"key":"2026011611102666000_16.1.e110444.17","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.hrtlng.2024.07.007","article-title":"Risk factors for readmission after sepsis and its association with mortality","volume":"68","author":"Engoren","year":"2024","journal-title":"Heart & Lung"},{"key":"2026011611102666000_16.1.e110444.18","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocac060"},{"key":"2026011611102666000_16.1.e110444.19","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1707170"},{"key":"2026011611102666000_16.1.e110444.20","unstructured":"Peters MDJ , Godfrey C , McInerney P , et al . Scoping Reviews (2020). Available from. JBI Manual for Evidence Synthesis JBI, 2020."},{"key":"2026011611102666000_16.1.e110444.21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.08.005"},{"key":"2026011611102666000_16.1.e110444.22","unstructured":"Oliver S , Kavanagh J , Caird J , et al . Health promotion, inequalities and young people\u2019s health: a systematic review of research. EPPI-Centre 2008. Available: https:\/\/eppi.ioe.ac.uk\/cms\/Portals\/0\/PDF%20reviews%20and%20summaries\/Inequalities%20Young%20People%20R2008Oliver.pdf?ver=2010-12-22-123934-167"},{"key":"2026011611102666000_16.1.e110444.23","doi-asserted-by":"crossref","unstructured":"Page MJ , McKenzie JE , Bossuyt PM , et al . n.d. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ:n71. doi:10.1136\/bmj.n71","DOI":"10.1136\/bmj.n71"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2025-110444","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T19:10:41Z","timestamp":1768590641000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2025-110444"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,16]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bmjopen-2025-110444"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2025-110444","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}