C
ommunity-acquired pneumonia (CAP) is a ma-
jor cause of morbidity and mortality in the
elderly, with an estimated annual health-care cost in
the United States of $4.4 billion.
2,3
Epidemiologic
studies have demonstrated that the incidence of
pneumonia increases with aging, with the risk being
almost six times higher in those
75 years old,
compared to those
60 years of age.
3– 6
Further-
more, the mortality from pneumonia increases strik-
ingly with aging.
2–9
The attack rate for pneumonia is
highest among those in nursing homes.
6
Marrie
10
found that 33 of 1,000 nursing home residents per
year required hospitalization for treatment of pneu
Community-acquired pneumonia (CAP) is a ma-jor cause of morbidity and mortality in theelderly, with an estimated annual health-care cost inthe United States of $4.4 billion.2,3Epidemiologicstudies have demonstrated that the incidence ofpneumonia increases with aging, with the risk beingalmost six times higher in those75 years old,compared to those60 years of age.3– 6Further-more, the mortality from pneumonia increases strik-ingly with aging.2–9The attack rate for pneumonia ishighest among those in nursing homes.6Marrie10found that 33 of 1,000 nursing home residents peryear required hospitalization for treatment of pneu
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