Sepsis & infection

Age-related epidemiology and outcomes of sepsis in Japanese critical care units: a nationwide administrative claims database study

J Intensive CarePublished Retrospective cohort study

Main finding · In-hospital mortalityResult — go to the resultAdjusted odds ratio 4.75 95% CI 4.37–5.16

Authors' conclusion

Sepsis in Japanese critical care units demonstrated substantial age-related differences in epidemiology, treatment, resource utilization, and outcomes.

Study context

Population
Patients with sepsis in Japanese critical care units, Diagnosis Procedure Combination database, fiscal years 2010–2019met sepsis criteria
Participants
511,848 patients
Exposure
10-year age groups
Outcome
In-hospital mortality by age
Methodological detailsnationwide administrative claims database
  • Nationwide administrative claims database

Main finding

In-hospital mortality

Adjusted odds ratio

4.75

95% CI 4.37–5.16

By group

≥ 90 years

24.9%

≥ 90 years vs ≤ 29 years
aOR 4.75 (95% CI 4.37–5.16)

As reported in the abstract

Observational data: associations, not effects.

Further findings

ICU mortality — ≥ 90 years
9.5%
Discharge home — ≥ 90 years
29.4%

ICU mortality

ICU mortality increased with age

Discharge home

Proportion discharged home declined with age

Organ support (vasopressors, mechanical ventilation)

Use of organ support inversely related to age

Original publication

Age-related epidemiology and outcomes of sepsis in Japanese critical care units: a nationwide administrative claims database study. J Intensive Care. Published 17 December 2025. doi:10.1186/s40560-025-00837-4

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