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. 2021 Jul;2(7):e426–e435. doi: 10.1016/S2666-7568(21)00118-5

Table 2.

Association between common infections and dementia overall and stratified by type of infection

Total number of incident dementia diagnoses Total person-years at risk Crude incidence rate (95% CI) Age-adjusted HR (95% CI)* Age, sex, IMD, and calendar period adjusted HR (95% CI) Fully adjusted HR (95% CI)
No infection 25 314 3 895 032 6·50 (6·42–6·58) 1 (ref) 1 (ref) 1 (ref)
Any infection 31 488 1 754 956 17·94 (17·75–18·14) 1·78 (1·75–1·81) 1·64 (1·61–1·66) 1·53 (1·50–1·55)
Sepsis 427 16 814 25·40 (23·10–27·92) 2·48 (2·26–2·73) 2·18 (1·98–2·40) 2·08 (1·89–2·29)
Pneumonia 1247 47 836 26·07 (24·66–27·56) 2·27 (2·15–2·41) 1·98 (1·87–2·10) 1·88 (1·77–1·99)
Other LRTI 13 429 910 432 14·75 (14·50–15·00) 1·57 (1·54–1·60) 1·39 (1·36–1·42) 1·34 (1·31–1·37)
UTI 10 513 481 341 21·84 (21·43–22·26) 2·04 (1·99–2·08) 1·80 (1·75–1·84) 1·73 (1·69–1·78)
SSTI 5535 291 603 18·98 (18·49–19·49) 1·78 (1·73–1·83) 1·58 (1·53–1·62) 1·54 (1·49–1·58)

HR=hazard ratio. IMD=Index of multiple deprivation. LRTIs=lower respiratory tract infections (excluding pneumonia). UTIs=urinary tract infection. SSTI=skin and soft tissue infection.

*

Age as underlying timescale.

Adjusted for age, sex, patient level IMD, and calendar time period over follow-up (2004–08, 2009–13, and 2014–18).

Adjusted for age, sex, patient level IMD, and calendar time period over follow-up (2004–08, 2009–13, and 2014–18), ethnicity, smoking status, heavy alcohol consumption, anxiety and depression, severe mental illness, inflammatory bowel disease, multiple sclerosis, rheumatoid arthritis, psoriasis, asthma, chronic kidney disease, chronic liver disease, chronic obstructive pulmonary disease, diabetes mellitus, heart failure, hypertension, obstructive sleep apnoea, stroke, traumatic brain injury, benzodiazepines, proton pump inhibitors, systemic corticosteroids, and polypharmacy.