Risk Factors for Urosepsis in Older Adults: A Systematic Review

• Published in: Gerontology and geriatric medicine 2016-01, Vol.2, p.2333721416638980-2333721416638980
• Main Authors: Peach, Brian C., Garvan, Gerard J., Garvan, Cynthia S., Cimiotti, Jeannie P.
• Format: Article
• Language: English
• ISSN: 2333-7214; 2333-7214
• DOI: 10.1177/2333721416638980

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.