Abstract

Priyanka Tanwar*, Mamta Naagar and Manish Kumar Maity

ABSTRACT

The elderly population is becoming more likely to suffer from severe sepsis and septic shock, which is increasing the number of patients admitted to intensive care units (ICUs). Sepsis is more common among the elderly because of co-occurring co-morbidities, extended hospital stays, lowered immunity, functional restrictions, and most importantly, the natural ageing process. Because the early clinical picture may be unclear and ageing increases the likelihood of a fast progression in sepsis to severe sepsis and septic shock, a lower threshold and a greater index of suspicion are needed to identify sepsis in this patient population. With certain adjustments, established worldwide norms serve as the foundation for management practices. Age itself is an independent risk factor for death in patients with severe sepsis, however, many patients respond well to timely and appropriate interventions. Because the prognosis is not dire, patient and family wishes should also be considered before restricting or postponing treatment for elderly patients with severe sepsis due to professional bias. In addition to focussing on a successful functional recovery, future researches on the therapy of sepsis should also ensure social independence and a high standard of living following ICU release.