Table 3.
(a) Proportion of Guillain-Barré syndrome (GBS) inpatient admissions (IP) over all admissions, and (b) Proportion of negative control diagnoses (dx) inpatient admissions over all admissions, using MarketScan Commercial Claims and Encounters (CCAE) (18–64 years) and Centers for Medicare and Medicaid Services (CMS) (≥65 years) Medicare data, United States, 2010–2018a
Risk window |
Primary control window |
Secondary control window |
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---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
(1–42 days after HZ) |
(100–365 days after HZ) |
(43–99 days after HZ) |
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Age (years) | N (persons) | # IP | # GBS IP/ Negative control dx | % GBS IP | # IP | # GBS IP | % GBS IP | Relative Risk (95% CI) | p-Value | # IP | # GBS IP | % GBS IP | Relative Risk (95% CI) | p-Value |
(a) Risk of GBS: GBS in cohort as proportion of all inpatient admissions | ||||||||||||||
18–64 | 30,748 | 5,932 | 6 | 0.10% | 29,458 | 8 | 0.03% | 3.72 (1.12–12.45) | .0325 | 6,273 | 1 | 0.02% | 6.35 (0.73–55.46) | .0946 |
≥65 | 140,619 | 36,541 | 22 | 0.06% | 165,386 | 34 | 0.02% | 2.93 (1.44–5.94) | .0029 | 34,255 | 20 | 0.06% | 1.03 (0.52–2.05) | .9299 |
(b) Risk of selected negative controls: Negative control diagnoses in cohort as proportion of all inpatient admissions | ||||||||||||||
18–64, Appendicitis | 30,748 | 5,932 | 41 | 0.69% | 29,458 | 206 | 0.70% | 0.99 (0.70–1.39) | .9465 | 6,273 | 41 | 0.65% | 1.06 (0.68–1.64) | .8019 |
18–64, Nephrolithiasis | 30,748 | 5,932 | 29 | 0.49% | 29,458 | 179 | 0.61% | 0.80 (0.52–1.25) | .3309 | 6,273 | 30 | 0.48% | 1.02 (0.60–1.75) | .9358 |
18–64, Cholecystitis | 30,748 | 5,932 | 49 | 0.83% | 29,458 | 341 | 1.16% | 0.71 (0.53–0.96) | .0267 | 6,273 | 62 | 0.99% | 0.83 (0.57–1.22) | .3455 |
18–64, Fractures Upper Limb | 30,748 | 5,932 | 11 | 0.19% | 29,458 | 84 | 0.29% | 0.65 (0.35–1.22) | .1796 | 6,273 | 21 | 0.33% | 0.55 (0.27–1.15) | .1121 |
≥65, Appendicitis | 140,619 | 36,541 | 39 | 0.11% | 165,386 | 230 | 0.14% | 0.77 (0.54–1.09) | .1340 | 34,255 | 54 | 0.16% | 0.68 (0.45–1.03) | .0672 |
≥65, Nephrolithiasis | 140,619 | 36,541 | 44 | 0.12% | 165,386 | 205 | 0.12% | 0.97 (0.70–1.35) | .8625 | 34,255 | 45 | 0.13% | 0.92 (0.60–1.39) | .6810 |
≥65, Cholecystitis | 140,619 | 36,541 | 232 | 0.63% | 165,386 | 1,117 | 0.68% | 0.94 (0.81–1.09) | .398 | 34,255 | 236 | 0.69% | 0.92 (0.77–1.11) | .3792 |
≥65, Fractures Upper Limb | 140,619 | 36,541 | 156 | 0.43% | 165,386 | 843 | 0.51% | 0.74 (0.62–0.89) | .0590 | 34,255 | 188 | 0.55% | 0.78 (0.62–0.97) | .0277 |
aMarketScan CCAE data from 2010–2018; CMS Medicare data from 2014–2018.