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Cases of CAP in the ICU were clustered in patients from areas of the city with high poverty. The mortality of patients with CAP in ICU was 27% at 30 days and 47% at 1 year. In the US, the estimated number of patients hospitalized with CAP requiring ICU was 356,326 per year, and the estimated number of deaths at 30 days and one year was 96,206 and 167,474, respectively. CONCLUSIONS Almost one in five patients hospitalized with CAP requires intensive care. Poverty is associated with CAP in the ICU. Nearly half of patients with CAP in the IC