Impact of older age and nursing home residence on clinical outcomes of US emergency department visits for severe sepsis.

ABSTRACT:

Purpose

The purpose of this study is to compare the impact of older age and nursing home residence on the incidence and morbidity of severe sepsis.

Materials and methods

This was a retrospective analysis of 19460 emergency department visits from the 2005 to 2009 National Ambulatory Medical Care Surveys with diagnosis of infection with or without severe sepsis (acute organ dysfunction). Clinical outcomes included intensive care unit (ICU) admission, hospital length of stay (LOS), and in-hospital mortality.

Results

Older adults (age≥65 years) were 5-fold more likely to have infections classified as severe sepsis than younger adults (6.5% vs 1.3%), and nursing home residents were 7-fold more likely to have a severe sepsis diagnosis compared with nonnursing home residents

SUBMITTER: Ginde AA 

PROVIDER: S-EPMC3770757 | biostudies-literature | 2013 Oct

REPOSITORIES: biostudies-literature