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Table 3 Cox multivariate analysis for risk of subsequent hospitalization for infection in rheumatoid arthritis patients

From: Clinical course of patients with rheumatoid arthritis who continue or discontinue biologic therapy after hospitalization for infection: a retrospective observational study

 

Crude

Model 1a

Model 2b

HR (95% CI)

P-value

HR (95% CI)

P-value

HR (95% CI)

P-value

Age (years)

1.00 (0.99–1.02)

0.63

Gender; female vs. male

0.86 (0.56–1.42)

0.56

Disease duration (years)

1.00 (0.99–1.02)

0.65

1.00 (0.99–1.02)

0.67

  ≥ 10 years vs. < 10 years

1.03 (0.67–1.62)

0.86

1.03 (0.66–1.62)

0.90

Stage III or IV vs. I or II

1.05 (0.64–1.72)

0.85

1.05 (0.64–1.72)

0.90

Class III or IV vs. I or II

1.36 (0.84–2.19)

0.21

1.37 (0.85–2.23)

0.20

RF positive vs. negative

1.57 (0.72–3.40)

0.26

1.57 (0.72–3.44)

0.26

ACPA positive vs. negative

1.47 (0.65–3.28)

0.35

1.47 (0.65–3.31)

0.36

Biologics use vs. no use

0.81 (0.51–1.29)

0.37

0.83 (0.51–1.33)

0.43

MTX use vs. no use

0.67 (0.42–1.06)

0.09

0.68 (0.42–1.09)

0.11

0.96 (0.57–1.61)

0.88

MTX dose (mg/week)

0.98 (0.92–1.03)

0.38

0.98 (0.92–1.04)

0.44

Oral steroid, > 5 mg/day vs. ≤5 mg/day

2.45 (1.54–3.89)

< 0.01

2.50 (1.56–4.01)

< 0.01

2.25 (1.37–3.67)

< 0.01

Oral steroid dose (mg/day)

1.05 (1.01–1.08)

0.02

1.04 (1.01–1.09)

0.02

Other DMARDs use vs. no use

1.40 (0.87–2.26)

0.16

1.38 (0.86–2.23)

0.18

1.13 (0.68–1.88)

0.64

Chronic lung disease

1.44 (0.92–2.24)

0.11

1.42 (0.88–2.29)

0.15

1.26 (0.77–2.06)

0.36

Chronic renal dysfunction (eGFR < 60 ml/min)

1.79 (1.15–2.80)

0.01

1.96 (1.19–3.24)

< 0.01

1.69 (1.01–2.83)

0.04

Diabetes

1.42 (0.89–2.28)

0.14

1.39 (0.86–2.25)

0.18

1.09 (0.66–1.81)

0.73

A history of hospital-acquired infection in the prior biologic therapy

1.38 (0.85–2.25)

0.19

1.37 (0.84–2.23)

0.21

-

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  1. Abbreviations: CI confidence interval, HR hazard ratio, Stage Steinbrocker stage, Class Steinbrocker class, RF rheumatoid factor, ACPA anti-citrullinated peptide antibody, MTX methotrexate, DMARDs disease-modifying anti-rheumatic drugs
  2. aAdjusted for age and sex
  3. bAdjusted for variables with P-value < 0.20 in addition to model 1 variables