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Editorials |

There Is No “Cap” on the Importance of Community-Acquired Pneumonia in the ICU

Andrew F. Shorr, MD, MPH, FCCP; Richard G. Wunderink, MD, FCCP
Author and Funding Information

Affiliations: Washington, DC ,  Chicago, IL

Correspondence to: Andrew F. Shorr, MD, MPH, FCCP, Room 2A-38D, Washington Hospital Center, 110 Irving St NW, Washington, DC 20010; e-mail: afshorr@dnamail.com


Chest. 2008;133(3):590-592. doi:10.1378/chest.07-2515
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Community-acquired pneumonia (CAP) remains a major reason for hospitalization and a leading cause of mortality in the United States. Efforts to improve CAP outcomes have generally focused on less severely ill patients not requiring treatment in the ICU. Additionally, quality measures advanced by the Centers for Medicare and Medicaid Services (CMS) address multiple issues but again emphasize aspects of care for patients admitted to the general medicine wards. Despite the lack of strong prospective data indicating that certain quality measures mandated by CMS correlate with enhanced outcomes, financial incentives are being used in order to enforce compliance with these recommendations.1

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