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Table 3 Hazard ratio for pneumonia in COPD patients stratified by FEV1

From:  Identifying the associated risks of pneumonia in COPD patients: ARCTIC an observational study

 

FEV1 < 50% Hazard ratio (95% CI)

(N = 2730)

FEV1 ≥ 50% Hazard ratio (95% CI)

(N = 5547)

Agea

1.04 (1.03–1.04)

1.04 (1.04–1.04)

Malesb

1.28 (1.20–1.36)

1.26 (1.19–1.34)

COPD + asthma compared with referencec

 Reference

1

1

 No ICS

3.06 (2.35–3.97)

4.61 (3.70–5.75)

 Low ICSd

6.61 (5.43–8.05)

5.31 (4.57–6.18)

 High ICSe

6.40 (5.30–7.72)

5.40 (4.56–6.38)

‘COPD without asthma’ compared with referencec

 Reference

1

1

 No ICS

4.35 (3.79–4.99)

4.01 (3.58–4.49)

 Low ICS

6.15 (5.23–7.24)

4.52 (3.91–5.23)

 High ICS

4.91 (3.82–6.31)

4.62 (3.45–6.18)

‘COPD without asthma’: ICS use compared with no ICS use in the COPD population

 No ICS

1

1

 Low ICS

1.06 (0.91–1.25)

1.20 (1.05–1.38)

 High ICS

0.98 (0.81–1.17)

1.31 (1.10–1.56)

  1. aIncreased risk for every one year increase in age; bIncreased risk for males compared to females; cReference population (n = 48,566); case matched population with no asthma or COPD but with lung function measurements; dLow dose ICS: < 640 μg/day; eHigh dose ICS: ≥800 μg/day
  2. CI confidence intervals, COPD chronic obstructive pulmonary disease, FEV1 forced expiratory volume in 1 s, ICS inhaled corticosteroids