de Miguel-Diez, JavierLopez-Herranz, MartaHernandez-Barrera, Valentinde Miguel-Yanes, Jose M.Perez-Farinos, NapoleonWarnberg, JuliaCarabantes-Alarcon, DavidJimenez-Garcia, RodrigoLopez-de-Andres, Ana2025-01-072025-01-072021-11-01https://hdl.handle.net/10668/24525Background: To describe and analyze the incidence and hospital outcomes of patients admitted with community-acquired pneumonia (CAP) according to Chronic Obstructive Pulmonary Disease (COPD) status and sex in Spanish hospitals from 2016 to 2019.Methods: We conducted a cohort study using national hospital discharge data of all patients >= 40 years with CAP.Results: A total of 500,833 patients (59.0% men) was identified. Incidence of CAP increased over time. Age-adjusted incidence was 4.42-times higher in COPD patients. In-hospital mortality (IHM) was lower in men and women with COPD than in those without COPD (14.41% vs. 10.70% in men; 11.12% vs. 8.58%. in women; p = 40 years with CAP.Results: A total of 500,833 patients (59.0% men) was identified. Incidence of CAP increased over time. Age-adjusted incidence was 4.42-times higher in COPD patients. In-hospital mortality (IHM) was lower in men and women with COPD than in those without COPD (14.41% vs. 10.70% in men; 11.12% vs. 8.58%. in women; penAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/community-acquired pneumoniaCOPDsexincidencein-hospital mortalityPopulation databaseMortalityBurdenSeverityImpactRiskCareAgeresearch article34768409open access10.3390/jcm102148892077-0383https://www.mdpi.com/2077-0383/10/21/4889/pdf?version=1635219961718661700001