title: Risk Factors for Urosepsis in Older Adults: A Systematic Review.
abstract: Objective:To identify factors that predispose older adults to urosepsis and urosepsis-related mortality.Method:A systematic search using PubMed and CINAHL databases. Articles that met inclusion criteria were assessed using the Strengthening the Reporting of OBservational studies in Epidemiology (STROBE) criteria and were scored on a 4-point Likert-type scale.Results:A total of 180 articles were identified, and six met inclusion criteria. The presence of an internal urinary catheter was associated with the development of urosepsis and septic shock. Although a number of factors were examined, functional dependency, number of comorbidities, and low serum albumin were associated with mortality across multiple studies included in this review.Discussion:Little scientific evidence is available on urosepsis, its associated risk factors, and those factors associated with urosepsis-related mortality in older adults. More research is warranted to better understand urosepsis in this vulnerable population in an effort to improve the quality of patient care.
authors.affiliation: University of Florida, Gainesville, FL, USA.
authors.forename: Brian C
authors.initials: BC
authors.lastname: Peach
authors.affiliation: University of Florida, Gainesville, FL, USA.
authors.forename: Gerard J
authors.initials: GJ
authors.lastname: Garvan
authors.affiliation: University of Florida, Gainesville, FL, USA.
authors.forename: Cynthia S
authors.initials: CS
authors.lastname: Garvan
authors.affiliation: University of Florida, Gainesville, FL, USA.
authors.forename: Jeannie P
authors.initials: JP
authors.lastname: Cimiotti
keywords: mortality; older adults; systematic review; urosepsis