INTRODUCTION: Pneumonia is a serious lung infection that especially affects the elderly, due to the fragility of the immune system and the presence of comorbidities. This study analyzes the incidence, risk factors and hospital costs associated with hospitalizations for pneumonia in the elderly in Brazil, highlighting the need for effective prevention and management strategies to reduce its impact. OBJECTIVE: This study aims to analyze hospital admissions for pneumonia in the elderly in Brazil from January 2024 to May 2024, with emphasis on distribution by age group, patient sex, types of care and hospital costs. METHODOLOGY: This is a quantitative retrospective study using data from the SUS Hospital Information System (SIH/SUS), accessed via the TABNET/DATASUS secondary database. Hospitalizations, age group, patient sex, types of care and hospital costs due to HF in Brazil between January 2024 and May 2024 were analyzed. The analysis used descriptive statistics and tabulation in a Microsoft Excel 2016 spreadsheet, with results presented in tables in Microsoft Word 10. RESULTS: The results indicate that the Southeast Region leads in hospitalizations for pneumonia in the elderly (57.74%) and also in hospital expenses (R74,085,867.55).Themostaffectedagegroupisthoseaged80andover,with44.50 74.085.867,55). A faixa etária mais afetada é a de 80 anos ou mais, com 44,50% das internações. Predominam internações femininas e de urgência, refletindo a gravidade dos casos e a necessidade de intervenções médicas imediatas em todo o país. CONCLUSÃO: Portanto, a análise evidencia a alta prevalência de pneumonia em idosos, com maior incidência na Região Sudeste. A predominância de internações urgentes e os altos custos hospitalares destacam a gravidade da doença e a necessidade de intervenções imediatas. Estratégias de prevenção e manejo eficazes são essenciais para reduzir o impacto da pneumonia nessa população vulnerável