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Age, male sex, low BMI, and comorbidities like diabetes are significant risk factors for sepsis incidenceAge, diabetes, and COPD raise sepsis risk, meta-analysis finds

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Key Takeaway
Recognize age, male sex, low BMI, and comorbidities as significant risk factors for increased sepsis incidence.

This meta-analysis synthesized data from 21 studies to identify risk factors associated with sepsis incidence. The analysis included several clinical and demographic variables to determine their association with increased or decreased risk of developing sepsis.

Significant risk factors for increased sepsis incidence include age (greater than or equal to 60 years and per-year increase), male sex, low BMI (less than or equal to 18.5), and Black race. Additionally, the presence of comorbidities such as diabetes, chronic obstructive pulmonary disease (COPD), cancer, and kidney disease were identified as significant risk factors. Other clinical indicators including postoperative infection, ASA score greater than 2, and GCS score were also associated with increased risk. One protective factor was identified in the analysis.

The authors note that these findings are based on a meta-analysis of observational and clinical data; therefore, causality is not established. The study highlights that identifying these specific risk factors can help prioritize early interventions to reduce sepsis incidence. Clinical application should be tempered by the fact that no specific effect sizes or confidence intervals were reported for individual factors.

How this fits prior evidence

This meta-analysis identifies several demographic and clinical risk factors, such as age, sex, BMI, and comorbidities like diabetes and kidney disease, associated with increased sepsis incidence. These findings complement existing evidence characterizing sepsis as an inflammation-driven immune reprogramming disorder. While the current study focuses on identifying high-risk populations through observational data, previous coverage has focused on the underlying inflammatory mechanisms and specific signaling pathways in sepsis and related conditions like acute lung injury.

A meta-analysis of 21 studies has identified several risk factors that increase a person's chances of developing sepsis, a life-threatening response to infection. The analysis, which combined data from 23 eligible studies, found that being 60 years or older, male, having a low BMI (under 18.5), or being Black were all linked to a higher risk of sepsis. Chronic health conditions such as diabetes, chronic obstructive pulmonary disease (COPD), cancer, and kidney disease also raised the risk. Additionally, having a postoperative infection, a high ASA score (a measure of health before surgery), or a low GCS score (a measure of consciousness) were significant risk factors.

The study also identified one protective factor that lowered the risk of sepsis, though the specific factor was not named in the abstract. It is important to note that this meta-analysis shows associations, not cause and effect. The researchers did not report specific effect sizes or confidence intervals for each risk factor, so the strength of these links is not fully detailed.

No safety concerns or adverse events were reported in this analysis, as it focused on risk factors rather than treatments. The findings suggest that identifying these risk factors early and taking preventive steps could help reduce the incidence of sepsis. However, because this is a meta-analysis of observational and clinical data, the results should be interpreted cautiously. Readers should consult their healthcare provider for personalized advice on sepsis prevention.

What this means for you:
Age, male sex, low BMI, Black race, and several chronic diseases are linked to higher sepsis risk.

Common questions

What are the main risk factors for sepsis found in this study?

The study found that age 60 or older, male sex, low BMI (under 18.5), Black race, diabetes, COPD, cancer, kidney disease, postoperative infection, high ASA score, and low GCS score are all linked to a higher risk of sepsis.

Does this study prove that these factors cause sepsis?

No. This meta-analysis shows associations between these factors and sepsis, but it does not prove cause and effect. The data comes from observational and clinical studies, so other factors could be involved.

How many studies were included in this meta-analysis?

The analysis included 21 studies in the quantitative meta-analysis, out of 23 eligible studies. The researchers combined data from these studies to identify risk factors for sepsis.

Was there any protective factor identified?

Yes, the study identified one protective factor that was linked to a lower risk of sepsis. However, the specific factor was not named in the abstract, so it is unclear what it is.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedJun 2026
View Original Abstract ↓
This study aims to identify key risk factors for the incidence of sepsis through a systematic review and meta-analysis, thereby providing evidence-based medical evidence for its primary prevention and early identification. Systematic searches were conducted across eight Chinese and English databases (CNKI, Wanfang, SinoMed, VIP, PubMed, Web of Science, Embase, Cochrane Library) from their inception to January 2025. Study selection, data extraction, and quality assessment were performed independently by two reviewers. Meta-analysis was then carried out using RevMan software. Effect sizes were pooled using either fixed- or random-effects models based on heterogeneity, and sensitivity analyses were performed for outcomes with high heterogeneity. A total of 12,536 records were identified, and 23 studies met the eligibility criteria, of which 21 studies were included in the quantitative meta-analysis. The pooled analyses identified 19 significant factors associated with sepsis incidence, including 18 risk factors and 1 protective factor. The risk factors identified were: age (≥60 years and per-year increase), male sex, low BMI (≤18.5), Black race, diabetes, chronic obstructive pulmonary disease (COPD), cancer, kidney disease, postoperative infection, ASA score >2, GCS score This study provides a comprehensive review of risk factors for the incidence of sepsis. Correct identification of these risk factors and early implementation of interventions should be prioritized to reduce the incidence of sepsis.
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