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. 2019 Sep 9;59(5):997–1005. doi: 10.1093/rheumatology/kez344

Table 5.

HRs of infection outcomes by vaccination status

Outcome No RA (n = 3699) RA (n = 3699)
Not vaccinated Vaccinated Not vaccinated Vaccinated
Pneumonia vaccinations, n (%) 3239 (88) 460 (12) 3093 (84) 606 (16)
Pneumonia events, n (%) 30 (1) 12 (3) 88 (3) 20 (3)
Exposure time, person-years 14 401 2032 12 780 2601
Event rate per 1000 person-years, median (IQR) 2.1 (1.4–3.0) 5.9 (3.1–10.3) 6.9 (5.5–8.5) 7.7 (4.7–11.9)
Unadjusted HR (95% CI) Reference 2.84 (1.45, 5.54) Reference 1.12 (0.69, 1.82)
Adjusted HR (95% CI)a Reference 2.03 (1.00, 4.11) Reference 0.90 (0.55, 1.48)
Influenza vaccinations, n (%) 1920 (52) 1779 (48) 1348 (36) 2351 (64)
Influenza-like illness events, n (%) 57 (3) 34 (2) 35 (3) 42 (2)
Exposure time, person-years 8484 7842 4951 10383
Event rate per 1000 person-years, median (IQR) 6.7 (5.1–8.7) 4.3 (3.0–6.1) 7.1 (4.9–9.8) 4.0 (2.9–5.5)
Unadjusted HR (95% CI) Reference 0.65 (0.42, 0.99) Reference 0.58 (0.37, 0.90)
Adjusted HR (95% CI)a Reference 0.95 (0.55, 1.64) Reference 0.59 (0.36, 0.98)
a

Adjusted for age, sex, ethnicity (white/missing or non-white), BMI category (<18.5 underweight, 18.5–24.9 normal weight, 25.0–29.9 overweight, 30.0–34.9 class I obesity, 35.0–39.9 class II obesity, ≥40.0 class III obesity, missing), smoking status (never, current, former, missing), comorbidities (COPD, asthma, diabetes, CKD), use of immunosuppressive agents and, in those with RA, the duration of RA and seropositivity (presence of RF or anti-CCP antibodies.