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. 2021 Sep 3;70(35):1228–1232. doi: 10.15585/mmwr.mm7035e5

TABLE. Frequency of and risk for myocarditis among patients with and without COVID-19 and adjusted* myocarditis risk differences and risk ratios comparing patients with and without COVID-19 — Premier Healthcare Database Special COVID-19 Release, United States, March 2020–January 2021.

Characteristic No. of patients with COVID-19 No. of patients without COVID-19 No. of patients with myocarditis Myocarditis among patients with COVID-19
Myocarditis among patients without COVID-19
Adjusted myocarditis risk difference (95% CI) Adjusted myocarditis risk ratio (95% CI)
No. (% of patients with myocarditis) Risk, % No. (% of patients with myocarditis) Risk, %
Overall
1,452,773
34,552,521
5,069
2,116 (41.7)
0.146
2,953 (58.3)
0.009
0.126 (0.112–0.140)
15.7 (14.1–17.2)
Sex
Male
680,722
14,339,356
3,008
1,274 (42.4)
0.187
1,734 (57.6)
0.012
0.165 (0.146–0.183)
13.8 (12.3–15.3)
Female
772,051
20,213,165
2,061
842 (40.9)
0.109
1,219 (59.1)
0.006
0.100 (0.087–0.113)
17.8 (15.6–20.0)
Age group, yrs
<16
64,898
3,670,762
218
86 (39.4)
0.133
132 (60.6)
0.004
0.122 (0.065–0.179)
36.8 (25.0–48.6)
16–24
123,865
3,067,575
511
121 (23.7)
0.098
390 (76.3)
0.013
0.088 (0.061–0.115)
7.4 (5.5–9.2)
25–39
268,549
6,246,568
862
208 (24.1)
0.077
654 (75.9)
0.010
0.067 (0.052–0.081)
6.7 (5.5–8.0)
40–49
198,561
4,147,909
620
213 (34.4)
0.107
407 (65.6)
0.010
0.093 (0.078–0.109)
10.0 (8.1–11.9)
50–64
356,697
7,965,264
1,226
553 (45.1)
0.155
673 (54.9)
0.008
0.137 (0.121–0.154)
17.0 (14.7–19.3)
65–74
214,331
5,318,474
801
398 (49.7)
0.186
403 (50.3)
0.008
0.160 (0.135–0.184)
23.0 (19.4–26.7)
≥75 225,872 4,135,969 831 537 (64.6) 0.238 294 (35.4) 0.007 0.208 (0.179–0.237) 31.6 (25.9–37.2)

Abbreviation: CI = confidence interval.

* Adjusted risk differences and risk ratios for myocarditis during or after COVID-19 (reference group: no COVID-19), obtained from a single logit model with the following covariates: a three-way interaction between presence of COVID-19, sex, and age group, including lower-order interactions and main effects; race/ethnicity; payer type; hospital U.S. Census region; and hospital urbanicity.