%0 Journal Article
%T Frailty Syndrome and Risk of Sepsis in the REasons for Geographic And Racial Differences in Stroke (REGARDS) Cohort
%A Henry E. Wang
%A John P. Donnelly
%A Justin Xavier Moore
%A Monika M. Safford
%A Mythreyi Mahalingam
%J Journal of Intensive Care Medicine
%@ 1525-1489
%D 2019
%R 10.1177/0885066617715251
%X Frailty is associated with increased morbidity and mortality in older persons. We sought to characterize the associations between the frailty syndrome and long-term risk of sepsis in a large cohort of community-dwelling adults. We analyzed data on 30 239 community-dwelling adult participants in the REasons for Geographic and Racial Differences in Stroke (REGARDS) cohort. We defined frailty as the presence of at least 2 frailty indicators (weakness, exhaustion, and low physical activity). We defined sepsis as hospitalization for a serious infection with ¡Ý2 system inflammatory response syndrome criteria, identified for the period 2003-2012. We determined the associations between frailty and risk of first sepsis and sepsis 30-day case fatality. Among REGARDS participants, frailty was present in 6018 (19.9%). Over the 10-year observation period, there were 1529 first-sepsis hospitalizations. Frailty was associated with increased risk of sepsis (adjusted hazard ratio [HR] 1.44; 95% CI: 1.26 to 1.64). The total number of frailty indicators was associated with increased risk of sepsis (P trend <.001). Among first-sepsis hospitalizations, frailty was associated with increased sepsis 30-day case fatality (adjusted OR 1.62; 95% CI: 1.06 to 2.50). In the REGARDS cohort, frailty was associated with increased long-term risk of sepsis and sepsis 30-day case fatality
%K sepsis
%K frailty
%K infection
%K epidemiology
%U https://journals.sagepub.com/doi/full/10.1177/0885066617715251