Table 3 Pneumonia-associated risk factors.
Unmatched population | Propensity score-matched population | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Crude HR | Adjusted HR | Crude HR | Adjusted HR | |||||||||
HR | 95% CI | p-value | HR | 95% CI | p-value | HR | 95% CI | p-value | HR | 95% CI | p-value | |
Index med | ||||||||||||
LAMA | Ref | – | – | Ref | – | – | Ref | – | – | Ref | – | – |
ICS/LABA with fluticasone | 1.622 | 1.384–1.901 | < 0.001 | 1.635 | 1.388–1.926 | < 0.001 | 1.318 | 0.999–1.739 | 0.051 | 1.496 | 1.204–1.859 | < 0.001 |
ICS/LABA without fluticasone | 1.277 | 0.942–1.732 | 0.115 | 1.232 | 0.906–1.675 | 0.184 | 1.120 | 0.653–1.921 | 0.680 | 1.002 | 0.682–1.473 | 0.991 |
ICS/LABA | 1.550 | 1.336–1.798 | < 0.001 | 1.551 | 1.331–1.809 | < 0.001 | 1.374 | 1.116–1.692 | 0.003 | 1.389 | 1.127–1.713 | 0.002 |
Age (years) | ||||||||||||
55 to < 75 | Ref | – | – | Ref | – | – | Ref | – | – | |||
75+ | 1.495 | 1.294–1.727 | < 0.001 | 1.431 | 1.235–1.657 | < 0.001 | 0.914 | 0.630–1.326 | 0.635 | |||
Sex | ||||||||||||
Male | 0.912 | 0.763–1.090 | 0.3095 | 0.727 | 0.430–1.230 | 0.2352 | ||||||
Female | Ref | – | – | Ref | – | – | ||||||
Income level | ||||||||||||
1st quartile | Ref | – | – | Ref | – | – | Ref | – | – | |||
2nd quartile | 1.168 | 0.893–1.528 | 0.257 | 1.175 | 0.898–1.537 | 0.241 | 1.279 | 0.623–2.626 | 0.503 | |||
3rd quartile | 1.118 | 0.869–1.439 | 0.385 | 1.140 | 0.886–1.468 | 0.309 | 1.048 | 0.532–2.062 | 0.893 | |||
4th quartile | 1.185 | 0.944–1.488 | 0.144 | 1.150 | 0.914–1.446 | 0.234 | 0.950 | 0.508–1.776 | 0.873 | |||
Medical aid | 1.575 | 1.235–2.010 | < 0.001 | 1.464 | 1.143–1.875 | 0.003 | 1.005 | 0.511–1.977 | 0.988 | |||
Hospital type | ||||||||||||
General hospital | 1.400 | 1.073–1.828 | 0.013 | 1.337 | 1.022–1.751 | 0.034 | 1.844 | 0.902–3.767 | 0.093 | 1.331 | 0.885–2.003 | 0.170 |
Hospital | 1.284 | 0.864–1.907 | 0.217 | 1.117 | 0.751–1.661 | 0.586 | 0.821 | 0.291–2.315 | 0.709 | 0.823 | 0.449–1.511 | 0.5305 |
Clinic | Ref | – | – | Ref | – | – | Ref | – | – | Ref | – | – |
Others | 0.908 | 0.222–3.713 | 0.8934 | 0.640 | 0.156–2.632 | 0.536 | 1.230 | 0.065–23.221 | 0.890 | 1.182 | 0.18–9.867 | 0.8695 |
History of pneumonia | ||||||||||||
No | Ref | – | – | Ref | – | – | Ref | – | – | Ref | – | – |
Yes | 2.479 | 2.074–2.963 | < 0.0001 | 2.400 | 1.978–2.911 | < 0.001 | 2.333 | 1.274–4.272 | 0.006 | 2.123 | 1.580–2.852 | < 0.0001 |
History of COPD exacerbation | ||||||||||||
None | Ref | – | – | Ref | – | – | Ref | – | – | |||
1 moderate | 1.429 | 1.111–1.839 | 0.006 | 1.240 | 0.950–1.619 | 0.114 | 1.302 | 0.888–1.909 | 0.177 | |||
≥ 2 moderate OR ≥ 1 severe | 1.574 | 1.279–1.936 | < 0.0001 | 1.083 | 0.860–1.364 | 0.496 | 1.446 | 1.079–1.939 | 0.014 | |||
mCCI | ||||||||||||
0, 1 | Ref | – | – | Ref | – | – | Ref | – | – | |||
2 | 0.793 | 0.623–1.009 | 0.060 | 0.815 | 0.639–1.040 | 0.010 | 1.051 | 0.578–1.913 | 0.870 | |||
3 | 1.064 | 0.881–1.283 | 0.521 | 0.964 | 0.792–1.174 | 0.717 | 0.972 | 0.552–1.710 | 0.920 | |||
4+ | 1.230 | 1.012–1.496 | 0.038 | 1.007 | 0.818–1.240 | 0.950 | 0.871 | 0.533–1.421 | 0.580 | |||
mCCI category | ||||||||||||
Congestive heart failure | ||||||||||||
No | Ref | – | – | Ref | – | – | ||||||
Yes | 1.053 | 0.839–1.322 | 0.655 | 0.885 | 0.505–1.551 | 0.669 | ||||||
Dementia | ||||||||||||
No | Ref | – | – | Ref | – | – | ||||||
Yes | 1.160 | 0.805–1.671 | 0.425 | 1.000 | 0.375–2.664 | 1.000 | ||||||
Chronic pulmonary disease | ||||||||||||
No | Ref | – | – | Ref | – | – | Ref | – | – | |||
Yes | 1.223 | 1.063–1.407 | 0.005 | 1.106 | 0.939–1.302 | 0.2273 | 1.160 | 0.795–1.693 | 0.442 | |||
Rheumatologic disease | ||||||||||||
No | Ref | – | – | Ref | – | – | ||||||
Yes | 1.232 | 0.878–1.730 | 0.229 | 0.917 | 0.405–2.078 | 0.835 | ||||||
Mild liver disease | ||||||||||||
No | Ref | – | – | Ref | – | – | ||||||
Yes | 1.058 | 0.895–1.250 | 0.510 | 0.814 | 0.521–1.272 | 0.366 | ||||||
Diabetes with chronic complications | ||||||||||||
No | Ref | – | – | Ref | – | – | ||||||
Yes | 1.037 | 0.825–1.303 | 0.510 | 0.724 | 0.413–1.270 | 0.260 | ||||||
Hemiplegia or paraplegia | ||||||||||||
No | Ref | – | – | Ref | – | – | ||||||
Yes | 1.112 | 0.576–2.145 | 0.752 | 1.500 | 0.251–8.977 | 0.657 | ||||||
Renal disease | ||||||||||||
No | Ref | – | – | Ref | – | – | ||||||
Yes | 1.021 | 0.655–1.592 | 0.9257 | 1.125 | 0.434–2.915 | 0.809 | ||||||
Any malignancy, including lymphoma and leukemia | ||||||||||||
No | Ref | – | – | Ref | – | – | ||||||
Yes | 1.032 | 0.843–1.264 | 0.759 | 1.226 | 0.763–1.970 | 0.400 | ||||||
Moderate or severe liver disease | ||||||||||||
No | Ref | – | – | Ref | – | – | Ref | – | – | |||
Yes | 1.985 | 1.095–3.601 | 0.024 | 1.916 | 1.030–3.567 | 0.0401 | 1.667 | 0.398–6.974 | 0.484 | |||
Metastatic solid tumor | ||||||||||||
No | Ref | – | – | Ref | – | – | ||||||
Yes | 1.055 | 0.582–1.912 | 0.860 | 1.834 | 0.254–2.732 | 0.764 | ||||||
HIV | ||||||||||||
No | Ref | – | – | NA | NA | NA | ||||||
Yes | NA | NA | NA | NA | NA | NA | ||||||