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. 2022 Mar 7;16:17534666221081047. doi: 10.1177/17534666221081047

Table 2.

Moderate AECOPD during the study period.

Population analysis for moderate exacerbations 2016 2017 2018 2019 2020 2020/2019 (%) or RR a
COPD population b 14,128 15,462 16,376 17,050 17,489
Female sex (%) 35.5 36.6 37.5 38.3 39.2
Age, years (mean ± SD) 69.4 ± 10.0 69.4 ± 9.9 69.5 ± 9.8 69.5 ± 9.7 69.6 ± 9.6
All events c (No./COPD population) 0.85 0.78 0.80 0.77 0.51 –33.8
 Antibiotics 0.62 0.56 0.58 0.55 0.34 –38.9
 Systemic corticosteroids 0.13 0.13 0.13 0.12 0.12 –6.1
 Antibiotics and corticosteroids 0.10 0.09 0.09 0.09 0.05 –41.1
No. events/exacerbator d 1.81 1.80 1.77 1.76 1.65 –6.1
 Risk of experiencing at least 1 event 0.469 0.431 0.450 0.438 0.309 0.692 a
 Risk of experiencing at least 2 events 0.215 0.195 0.202 0.193 0.115 0.575 a
Specific subgroups of patients
 COPD coded in hospitalisation
  Population 5218 6271 7080 7594 7528
  Events/population 1.18 1.06 1.05 1.02 0.71 –29.8
   Risk of experiencing at least 1 event 0.599 0.534 0.539 0.529 0.398 0.728 a
   Risk of experiencing at least 2 events 0.312 0.280 0.280 0.263 0.174 0.620 a
 Patients receiving triple therapy 2018–2020
  Population 4510 4510 4510
 Events/population e 1.05 0.98 0.68 –32.9 f
   Risk of experiencing at least 1 event 0.550 0.516 0.380 0.713 a
   Risk of experiencing at least 2 events 0.276 0.254 0.173 0.651 a
 Patients receiving dual bronchodilatation 2018–2020
  Population 2665 2665 2665
  Events/population e 0.51 0.50 0.33 –34.4 f
   Risk of experiencing at least 1 event 0.345 0.341 0.232 0.674 a
   Risk of experiencing at least 2 events 0.119 0.103 0.650 0.585 a
Population analysis for comparator event (UTI)
 UTI events/COPD population 0.076 0.077 0.079 0.085 0.078 –8.0

COPD, chronic obstructive pulmonary disease; SD, standard deviation; UTI, urinary tract infection.

a

Relative risk (risk in 2020 relative to the 2016-2019 or 2018-2019 weighted average risk).

b

Estimated separately for each year and based on COPD medication claims and hospitalisation events (e-Appendix 1).

c

Based on medication claims (antibiotics, oral corticosteroids, or both – e-Appendix 3).

d

Rates for patients with exacerbations.

e

Rates from 2018 on analysis of stable surviving subpopulation of dual/triple maintenance therapy (e-Appendix 2).

f

Compared to the 2018–2019 average.