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Published on: February 23, 2014
Risk of Noncommunicable Diseases After Hospitalization for Community-Acquired Pneumonia
Julio Ramirez1,2, Stephen Furmanek1, Thomas Chandler1
1Norton Infectious Disease Institute, Norton Healthcare, Louisville, Kentucky, USA.
Community-acquired pneumonia (CAP) hospitalization increases the risk of developing new noncommunicable diseases (NCDs) over five years. This study highlights CAP as a potential trigger for long-term health issues and multimorbidity.
Area of Science:
- Pulmonology
- Epidemiology
- Public Health
Background:
- Community-acquired pneumonia (CAP) is a major cause of hospitalization and mortality.
- Emerging evidence links CAP to long-term morbidity via noncommunicable diseases (NCDs).
- This study investigates the risk of new NCDs after CAP hospitalization.
Purpose of the Study:
- To evaluate the risk of developing new noncommunicable diseases (NCDs) following hospitalization for community-acquired pneumonia (CAP).
Main Methods:
- Retrospective matched cohort study using the Epic Cosmos database (2015-2016) with 5-year follow-up.
- Adult CAP patients were matched 1:3 with non-CAP controls by age, sex, and race.
- NCDs identified via ICD-10 codes; analyses stratified by NCD category to assess risks in previously unaffected individuals.
Main Results:
- CAP hospitalization significantly increased the risk of new NCDs over 5 years compared to controls.
- Pulmonary diseases presented the greatest absolute burden (NNH=14).
- An estimated 146,542 excess NCDs nationally were attributable to CAP annually, primarily pulmonary, cardiovascular, and renal.
Conclusions:
- Hospitalization for CAP is linked to a significant and lasting rise in the risk of new NCDs.
- CAP may act as an acute trigger for long-term multimorbidity.
- Findings underscore the importance of post-discharge care for CAP patients to mitigate NCD development.
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