OBJECTIVES: To estimate the rate of hospitalization for @entity55 in community-dwelling older adults and to assess its risk factors and contribution to mortality. DESIGN: Prospective observational study. SETTING: The @entity65 ( @entity65 ) in four U.S. communities. @entity1 : Five thousand eight hundred eighty-eight @entity1 and @entity1 aged 65 and older who were followed for a median 10.7 years. MEASUREMENTS: @entity1 were interviewed about medical history and demographics; evaluated for lung, physical, and cognitive function; and followed for hospitalizations, @entity65 , and @entity204 . RESULTS: Nearly 10% of the cohort was hospitalized for @entity55 , for a rate of 11.1 per 1,000 @entity1 -years (95% confidence interval (CI)=10.2-12.0). Risk factors included older age, male sex, current and past smoking, poor physical and lung function, and history of @entity65 and @entity1030 . Ten percent of @entity1 died during their incident @entity55 hospitalization, and @entity204 rates were high in those who survived to discharge. Compared with @entity1 who had not been hospitalized for @entity55 , the relative risk of total mortality was 4.9 (95% CI=4.1-6.0) during the first year after hospitalization and 2.6 (95% CI=2.2-3.1) thereafter, adjusted for age, sex, and race. The respective relative risks were 3.9 (95% CI=3.1-4.8) and 2.0 (95% CI=1.6-2.4) after further adjustment for baseline history of @entity65 ; @entity6 ; smoking; and measures of lung, physical, and cognitive function. CONCLUSION: In older @entity1 , hospitalization for @entity55 is common and is associated with an elevated risk of @entity204 , as shown in this population-based, prospective cohort.

Hospitalization for XXXX in the @entity65 : incidence, mortality, and influence on longer-term survival.

@entity1 :: ('9606', 'Species') :: ['participants', 'women', 'Participants', 'person', 'PARTICIPANTS', 'people', 'men'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes mellitus'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity1030 :: ('MESH:D029424', 'Disease') :: ['chronic obstructive pulmonary disease'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity65 :: ('MESH:D002318', 'Disease') :: ['CHS', 'Cardiovascular Health Study', 'cardiovascular disease']
@entity55 :: (MESH:D011014,Disease) :: ['pneumonia']
