Sepsis in Older Adults

Theresa Anne Rowe*, June M McKoy

*Corresponding author for this work

Research output: Contribution to journalReview article

4 Citations (Scopus)

Abstract

Sepsis disproportionally affects older adults with more than 60% of sepsis diagnoses attributed to adults aged 65 years and older. Identifying, diagnosing, and treating sepsis in older individuals remain a challenge for clinicians, and few studies focus specifically on older adults with multiple medical comorbidities. Principles guiding management of sepsis for older adults are generally the same as in younger adults; however, unique considerations particularly pertinent to the care older adults include antimicrobial selection and dosing, delirium management, and goals of care discussions. Other factors, such as medical comorbidities, cognitive impairment, and functional status, impact outcomes more than age alone.

Original languageEnglish (US)
Pages (from-to)731-742
Number of pages12
JournalInfectious Disease Clinics of North America
Volume31
Issue number4
DOIs
StatePublished - Dec 1 2017

Fingerprint

Sepsis
Comorbidity
Patient Care Planning
Delirium
Young Adult

Keywords

  • Infections
  • Older adults
  • Outcomes
  • Sepsis

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

Cite this

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title = "Sepsis in Older Adults",
abstract = "Sepsis disproportionally affects older adults with more than 60{\%} of sepsis diagnoses attributed to adults aged 65 years and older. Identifying, diagnosing, and treating sepsis in older individuals remain a challenge for clinicians, and few studies focus specifically on older adults with multiple medical comorbidities. Principles guiding management of sepsis for older adults are generally the same as in younger adults; however, unique considerations particularly pertinent to the care older adults include antimicrobial selection and dosing, delirium management, and goals of care discussions. Other factors, such as medical comorbidities, cognitive impairment, and functional status, impact outcomes more than age alone.",
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Sepsis in Older Adults. / Rowe, Theresa Anne; McKoy, June M.

In: Infectious Disease Clinics of North America, Vol. 31, No. 4, 01.12.2017, p. 731-742.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Sepsis in Older Adults

AU - Rowe, Theresa Anne

AU - McKoy, June M

PY - 2017/12/1

Y1 - 2017/12/1

N2 - Sepsis disproportionally affects older adults with more than 60% of sepsis diagnoses attributed to adults aged 65 years and older. Identifying, diagnosing, and treating sepsis in older individuals remain a challenge for clinicians, and few studies focus specifically on older adults with multiple medical comorbidities. Principles guiding management of sepsis for older adults are generally the same as in younger adults; however, unique considerations particularly pertinent to the care older adults include antimicrobial selection and dosing, delirium management, and goals of care discussions. Other factors, such as medical comorbidities, cognitive impairment, and functional status, impact outcomes more than age alone.

AB - Sepsis disproportionally affects older adults with more than 60% of sepsis diagnoses attributed to adults aged 65 years and older. Identifying, diagnosing, and treating sepsis in older individuals remain a challenge for clinicians, and few studies focus specifically on older adults with multiple medical comorbidities. Principles guiding management of sepsis for older adults are generally the same as in younger adults; however, unique considerations particularly pertinent to the care older adults include antimicrobial selection and dosing, delirium management, and goals of care discussions. Other factors, such as medical comorbidities, cognitive impairment, and functional status, impact outcomes more than age alone.

KW - Infections

KW - Older adults

KW - Outcomes

KW - Sepsis

UR - http://www.scopus.com/inward/record.url?scp=85032255610&partnerID=8YFLogxK

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U2 - 10.1016/j.idc.2017.07.010

DO - 10.1016/j.idc.2017.07.010

M3 - Review article

VL - 31

SP - 731

EP - 742

JO - Infectious Disease Clinics of North America

JF - Infectious Disease Clinics of North America

SN - 0891-5520

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