Impact on the Short-Term Hospital Outcomes From COVID Pandemic Among Older Adults With Sepsis.
Division
Far West
Hospital
MountainView Hospital
Document Type
Manuscript
Publication Date
1-3-2025
Keywords
COVID-19, health disparities, older adults, sepsis
Disciplines
Medicine and Health Sciences | Pathological Conditions, Signs and Symptoms | Rehabilitation and Therapy | Virus Diseases
Abstract
Objective: This study evaluates clinical characteristics, hospitals outcomes, and mortality determinants in older sepsis patients before and during COVID-19. Methods: Retrospective of sepsis cases (aged 65+) from nine hospitals (2018-2020) using ICD codes. Multivariate logistic regression was used to analyze mortality predictors. Results: Of 4635 sepsis patients, 515 (11.1%) passed in-hospital, with mortality rising to 13.9% during the pandemic from 10% prior (p < .01). Pandemic admissions had more racial minorities and severe comorbidities. Patient safety indicator events decreased during the pandemic (14.8% vs. 17.9%, p < .01), while home discharge rates remained consistent. Pandemic admission and lack of insurance correlated with increased mortality, alongside advanced age, ICU admission, and opioid and sedative use. Conclusion: COVID-19 pandemic admission and socioeconomic factors heightened mortality risks in older sepsis patients, highlighting the need for targeted care strategies.
Publisher or Conference
Journal of Applied Gerontology
Recommended Citation
Lee SW, Smith M, Lee SR. Impact on the Short-Term Hospital Outcomes From COVID Pandemic Among Older Adults With Sepsis. J Appl Gerontol. Published online January 3, 2025. doi:10.1177/07334648241311659