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

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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.

Context

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 and …

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Footnotes

  • 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.

  • Patient consent for publication Not required.

  • Provenance and peer review Commissioned; internally peer reviewed.

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