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Abstract : There are more elderly people being admitted to intensive care units (ICUs) due to an increase in the prevalence of severe sepsis and septic shock. Sepsis is more likely to affect the elderly due to co-morbid conditions, frequent and lengthy hospital stays, lowered immunity, functional limitations, and, most importantly, the effects of ageing itself. This systematic review aims to study the recent updates regarding the outcomes of elderly patients admitted to the ICU for sepsis. PubMed, SCOPUS, Web of Science, and Science Direct were systematically searched for relevant literature. Rayyan QRCI was employed throughout this comprehensive process. Our results included eight studies with a total of 29754 patients, and 15681 (52.7%) were males. In ICU, patients with sepsis, older age and elderly patients were risk factors for mortality. Fever and significant function loss were these individuals' most prevalent symptoms. High levels of HCT-ALB are linked to an increased risk of hospital and intensive care unit deaths. There is a dearth of knowledge on severe sepsis in the very elderly, especially regarding variables influencing prognosis, quality of life, and functional success following sepsis therapy. Since it is often believed that they will not respond to treatment as well, the very elderly are typically excluded from antisepsis and antimicrobial agent trials. To create optimal healthcare plans as the population ages and sepsis cases increase, future studies should, however, also focus on this patient age group. The effectiveness of prophylactic measures and the use of bundled approaches in the care of elderly patients with severe sepsis should be evaluated in further research.