Table 3 Pneumonia-associated risk factors.

From: Comparison of pneumonia incidence between long-acting muscarinic antagonist and inhaled corticosteroid plus long-acting beta agonist in patients with COPD

 

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

   
  1. HR hazard ratio, CI Confidence interval, COPD chronic obstructive pulmonary disease, mCCI modified Charlson comorbidity index, HIV human immunodeficiency virus, NA not applicable.