Mortalidade de idosos com infecção respiratória comunitária associadas à sepse em Unidade de Terapia Intensiva

Background and Objectives: Infections in older adults are more frequent and severe, and can lead to sepsis, an immediate cause of death in the intensive care unit (ICU). This study aimed to identify risk factors associated with the death of elderly patients with sepsis who were admitted to the ICU due to a previous community-acquired respiratory infection. Methods: This is an epidemiological, descriptive, and analytical study of a mixed cohort. The medical records of older adults admitted to the ICU from September 2019 to September 2020 with a diagnosis of a community-acquired respiratory infection who died due to sepsis were analyzed according to the presence or absence of SARS-CoV-2 infection. Sociodemographic and clinical data were collected. Descriptive and statistical analyses were performed. Results: Most patients were male and between 60 and 79 years old. Having chronic respiratory disease (RR = 1.9; p = 0.014) and a viral etiology (RR = 3.2; p < 0.001) were associated with death. Conclusion: These results reinforce the importance of preventing respiratory diseases in the older adults community and of early intervention to avoid deterioration and death.