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Internal Medicine 101

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  1. Pneumonia 

    Community-Acquired Pneumonia
    9 Topics
    |
    3 Quizzes
  2. Venous Thromboembolic Disease
    Acute Management of Pulmonary Embolism
    12 Topics
    |
    2 Quizzes
  3. Acute Management of DVT
    10 Topics
    |
    2 Quizzes
  4. Diabetes and Hyperglycemia
    Hyperglycemia in Hospitalized Patients
    11 Topics
    |
    2 Quizzes
  5. Hyperglycemic Crisis: Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic Syndrome
    13 Topics
    |
    3 Quizzes
  6. Pulmonary Exacerbations
    Chronic Obstructive Pulmonary Disease Exacerbation
    10 Topics
    |
    3 Quizzes
  7. Asthma Exacerbation
    15 Topics
    |
    3 Quizzes

Participants 396

  • Allison Clemens
  • April
  • ababaabhay
  • achoi2392
  • adhoward1
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Lesson 1, Topic 3
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Epidemiology, Risk Factors, and Etiology

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Epidemiology

CAP is the second most common cause of hospitalization and the most common infectious cause of death. Approximately 650 adults are hospitalization with CAP every year per 100,000 of population. This accounts to 1.5 million unique CAP hospitalizations each year.

For patients with age ≥ 65 years old, the annual incidence of hospitalization for CAP is approximately 2000 per 100,000 in the United States. This indicates that 2% of the older adult population will be hospitalized for CAP annually.

CAP is associated with increased long-term mortality. With mortality rates at 6.5% during hospitalization, 13% 30 days after hospitalization, 23% 6 months after hospitalization, and 31% a year after hospitalization.


Risk Factors

Other lifestyle factors – including crowded living conditions (eg. Prisons, homeless shelters), residence in low-income settings, and exposure to environmental toxins (eg. Solvents, paints, or gas)

A combination of these risk factors in patients is additives in terms of potential risk for CAP.


Etiology

The causative pathogen in CAP in adult patients is most commonly viral, with human rhinovirus and influenza most common. However, in a large proportion of cases (up to 62%), no pathogen is detected despite extensive microbiologic evaluation.