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Care of the older person
Malnutrition is a significant predictor of hospitalisation outcomes among older adults with sepsis
  1. Mahendar Vyasabattu1,
  2. Pradeep Yarra2
  1. 1 Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA
  2. 2 Internal Medicine, University of Kentucky, Lexington, Kentucky, USA
  1. Correspondence to Dr Pradeep Yarra, Internal Medicine, University of Kentucky, Lexington, Kentucky, USA; pya227{at}

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Commentary on: Abugroun A, Nayyar A, Abdel-Rahman M, Patel P. Impact of Malnutrition on Hospitalization Outcomes for Older Adults Admitted for Sepsis. Am J Med. 2020 Aug 15:S0002-9343(20)30695-1. doi: 10.1016/j.amjmed.2020.06.044. Epub ahead of print. PMID: 32810466.

Implications for practice and research

  • Malnutrition is an independent predictor for increased odds of mortality, septic shock and need for intubation among older patients with sepsis during their hospitalisation.

  • Malnutrition is also associated with increased length of stay and higher hospitalisation costs among admitted older patients with sepsis.


Sepsis in older adults aged ≥65 years is detrimental and is a very important contributor to mortality and morbidity, including deconditioning and debility leading to significant health burden.1 Prevalence of malnutrition among older adults ranges from 29% to 61% and a significant determinant of health outcomes in this population.2 The complex inter-relatability of malnutrition and impact on outcomes across the spectrum of diseases among older adults’ population is not well described. Identifying …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.