From: Risk factors of pneumonia in persons with and without Alzheimer’s disease: a matched cohort study
Variable | AD cohort unadjusted HR (95% CI) | adjusted HR (95% CI)* | Adjusted HR (95%CI) in competing risk model* | Non-AD cohort unadjusted HR (95% CI) | adjusted HR (95% CI)* | Adjusted HR (95%CI) in competing risk model* |
---|---|---|---|---|---|---|
Age | 1.04 (1.04–1.04) | 1.05 (1.05–1.05) | 1.02 (1.02–1.02) | 1.09 (1.09–1.09) | 1.09 (1.09–1.09) | 1.06 (1.06–1.06) |
Men | 2.10 (2.04–2.16) | 2.27 (2.20–2.34) | 2.01 (1.94–2.07) | 1.52 (1.46–1.58) | 1.89 (1.82–1.96) | 1.73 (1.66–1.80) |
Comorbidities | ||||||
Asthma/COPD | 1.66 (1.59–1.74) | 1.50 (1.43–1.57) | 1.46 (1.40–1.54) | 2.06 (1.96–2.17) | 1.76 (1.67–1.86) | 1.70 (1.60–1.79) |
Rheumatoid Arthritis | 1.31 (1.21–1.43) | 1.30 (1.20–1.41) | 1.25 (1.15–1.37) | 1.66 (1.51–1.82) | 1.50 (1.36–1.65) | 1.42 (1.28–1.56) |
Cardiovascular disease | 1.24 (1.21–1.28) | 1.06 (1.03–1.09) | 1.00 (0.97–1.03) | 1.67 (1.61–1.74) | 1.30 (1.25–1.35) | 1.19 (1.15–1.24) |
Diabetes | 1.27 (1.22–1.33) | 1.15 (1.10–1.20) | 1.06 (1.01–1.10) | 1.52 (1.44–1.60) | 1.29 (1.22–1.36) | 1.15 (1.09–1.22) |
Stroke | 1.41 (1.35–1.48) | 1.15 (1.10–1.21) | 1.07 (1.02–1.13) | 2.16 (2.04–2.28) | 1.52 (1.43–1.61) | 1.34 (1.26–1.42) |
Liver or kidney disease | 1.41 (1.28–1.56) | 1.08 (0.98–1.19) | 0.93 (0.84–1.03) | 2.09 (1.87–2.33) | 1.42 (1.27–1.58) | 1.05 (0.93–1.18) |
Previous hopital- treated pneumonia | 2.64 (2.53–2.76) | 2.00 (1.91–2.09) | 1.74 (1.66–1.83) | 4.18 (3.97–4.39) | 2.61 (2.48–2.75) | 2.17 (2.06–2.30) |
Drug use | ||||||
Benzodiazepines or related drugs | 1.14 (1.10–1.18) | 1.03 (0.99–1.07) | 1.05 (1.01–1.09) | 1.59 (1.53–1.65) | 1.14 (1.10–1.20) | 1.14 (1.09–1.19) |
Antidepressants | 0.99 (0.95–1.03) | 1.01 (0.97–1.05) | 1.01 (0.97–1.05) | 1.73 (1.64–1.82) | 1.30 (1.22–1.37) | 1.20 (1.13–1.28) |
Antipsychotics | 1.29 (1.23–1.35) | 1.28 (1.22–1.34) | 1.15 (1.10–1.21) | 2.15 (1.98–2.33) | 1.60 (1.47–1.74) | 1.39 (1.27–1.52) |
Antiepileptics | 1.48 (1.40–1.57) | 1.33 (1.26–1.42) | 1.29 (1.21–1.37) | 1.93 (1.79–2.07) | 1.43 (1.33–1.54) | 1.42 (1.31–1.53) |
Opioids | 1.32 (1.25–1.39) | 1.13 (1.07–1.20) | 1.08 (1.02–1.14) | 1.64 (1.55–1.75) | 1.20 (1.13–1.28) | 1.08 (1.01–1.15) |
Biological products | 1.15 (1.02–1.30) | 1.07 (0.95–1.21) | 1.00 (0.88–1.13) | 1.30 (1.14–1.48) | 1.14 (1.00–1.30) | 1.07 (0.93–1.23) |
Oral glucocorticoids | 2.07 (1.51–2.83) | 1.63 (1.19–2.23) | 1.29 (0.93–1.81) | 2.16 (1.46–3.20) | 1.79 (1.21–2.65) | 1.71 (1.14–2.57) |
Proton pump inhibitors | 1.23 (1.19–1.28) | 1.10 (1.06–1.14) | 1.06 (1.02–1.10) | 1.60 (1.54–1.67) | 1.23 (1.18–1.29) | 1.16 (1.11–1.21) |
Any psychotropics | 1.10 (1.07–1.14) | 1.08 (1–05-1.12) | 1.68 (1.62–1.75) | 1.29 (1.23–1.34) | ||
Number of psychotropics | ||||||
1 | 1.09 (1.05–1.12) | 1.07 (1.03–1.10) | 1.58 (1.52–1.65) | 1.24 (1.19–1.30) | ||
2 | 1.13 (1.08–1.18) | 1.11 (1.05–1.16) | 2.00 (1.87–2.13) | 1.39 (1.30–1.50) | ||
3 | 1.23 (1.12–1.35) | 1.19 (1.08–1.31) | 2.43 (2.07–2.84) | 1.66 (1.41–1.96) | ||
Antiepileptic or opioid use | 1.16 (1.11–1.21) | 1.26 (1.11–1.43) | 1.42 (1.34–1.50) | 1.19 (1.12–1.26) | ||
Antiepileptic and opioid use | 1.26 (1.11–1.42) | 1.08 (1.05–1.12) | 1.85 (1.62–2.12) | 1.55 (1.34–1.78) |