2016
DOI: 10.1586/14787210.2016.1135052
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Challenges with Diagnosing and Managing Sepsis in Older Adults

Abstract: Sepsis in older adults has many challenges that affect rate of septic diagnosis, treatment, and monitoring parameters. Numerous age-related changes and comorbidities contribute to increased risk of infections in older adults, but also atypical symptomatology that delays diagnosis. Due to various pharmacokinetic/pharmacodynamic changes in the older adult, medications are absorbed, metabolized, and eliminated at different rates as compared to younger adults, which increases risk of adverse drug reactions due to … Show more

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Cited by 64 publications
(54 citation statements)
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“…This may be due to the fact that Sepsis patients include a large proportion of older adults aged 65 years and older. [59][60] We found diabetes mellitus and hypertension increased the risk of AKI, which is consistent with other studies. [61][62][63]66 Chronic kidney disease has been recognized as a significant risk factor for AKI.…”
Section: (1) Risk Factors Of Pre-sepsissupporting
confidence: 92%
See 1 more Smart Citation
“…This may be due to the fact that Sepsis patients include a large proportion of older adults aged 65 years and older. [59][60] We found diabetes mellitus and hypertension increased the risk of AKI, which is consistent with other studies. [61][62][63]66 Chronic kidney disease has been recognized as a significant risk factor for AKI.…”
Section: (1) Risk Factors Of Pre-sepsissupporting
confidence: 92%
“…1 Moreover, With the global aging trend, and the majority of sepsis patients are mainly elderly, the number of patients with sepsis-induced AKI may continue to increase. [6][7] Sepsis-associated AKI portends a high burden of morbidity and mortality in both children and adults with critical illness.…”
Section: Introductionmentioning
confidence: 99%
“…This may be due to the fact that majority of the sepsis patients were older adults aged 65 years and older. [59][60] We found diabetes mellitus and hypertension were associated with higher risks of AKI, which is consistent with other studies. [61][62][63]66 Chronic kidney disease has been recognized as a signi cant risk factor for AKI.…”
Section: Pre-sepsis Risk Factorssupporting
confidence: 91%
“…1 Moreover, along with the global aging trend, majority of the sepsis patients were elderly, and the number of patients with sepsis-associated AKI may continue to increase. [6][7] Sepsis-associated AKI portends a high burden of morbidity and mortality in both children and adults with critical illness. Unfortunately, the pathogenesis of S-AKI is still not completely understood.…”
Section: Introductionmentioning
confidence: 99%
“…Age-related changes in the immune system, otherwise known as immunosenescence, increase the vulnerability of the older adult to infection while decreasing his or her immune response 45,46. Although aging is crucial in sepsis, the impacts of aging on inflammation and immunosuppression remain unclear 47.…”
Section: Discussionmentioning
confidence: 99%