Incidence and adjusted HR of outcome by sex, age and comorbidity for clinical vertebral fracture patients compared with controls
Variables | Clinical vertebral fracture | Compared with control | ||||||
Yes | No | |||||||
Events n | PY | Rate† | Events n | PY | Rate† | Crude HR (95% CI) | Adjusted HR‡ (95% CI) | |
Aortic dissection | ||||||||
All | 286 | 589 915 | 4.85 | 245 | 614 133 | 3.99 | 1.22 (1.02 to 1.44)* | 1.23 (1.03 to 1.45)* |
Gender | ||||||||
Female | 149 | 322 213 | 4.62 | 109 | 333 909 | 3.26 | 1.42 (1.11 to 1.82)** | 1.40 (1.09 to 1.79)** |
Male | 137 | 267 703 | 5.12 | 136 | 280 224 | 4.85 | 1.05 (0.83 to 1.33) | 1.08 (0.85 to 1.37) |
P for interaction | 0.09 | |||||||
Age, years | ||||||||
≤49 | 19 | 230 604 | 0.82 | 8 | 229 738 | 0.35 | 2.37 (1.04 to 5.40)* | 2.37 (1.03 to 5.41)* |
50–64 | 43 | 139 107 | 3.09 | 30 | 143 099 | 2.10 | 1.48 (0.93 to 2.36) | 1.45 (0.91 to 2.31) |
≥65 | 224 | 220 204 | 10.2 | 207 | 241 296 | 8.58 | 1.19 (0.99 to 1.44) | 1.17 (0.97 to 1.42) |
P for interaction | 0.29 | |||||||
Comorbidity§ | ||||||||
No | 117 | 411 117 | 2.85 | 86 | 421 520 | 2.04 | 1.40 (1.06 to 1.85)* | 1.38 (1.04 to 1.83)* |
Yes | 169 | 178 798 | 9.45 | 159 | 192 612 | 8.25 | 1.15 (0.92 to 1.42) | 1.14 (0.91 to 1.41) |
P for interaction | 0.28 | |||||||
Congestive heart failure | ||||||||
All | 6866 | 576 513 | 119.1 | 5411 | 603 639 | 89.6 | 1.33 (1.28 to 1.38)*** | 1.35 (1.30 to 1.40)*** |
Gender | ||||||||
Female | 4689 | 312 775 | 149.9 | 3649 | 326 705 | 111.7 | 1.34 (1.29 to 1.40)*** | 1.33 (1.27 to 1.39)*** |
Male | 2177 | 263 738 | 82.5 | 1762 | 276 934 | 63.6 | 1.30 (1.22 to 1.38)*** | 1.38 (1.30 to 1.47)*** |
P for interaction | 0.38 | |||||||
Age, years | ||||||||
≤49 | 233 | 230 058 | 10.1 | 142 | 229 391 | 6.19 | 1.63 (1.33 to 2.01)*** | 1.64 (1.33 to 2.03)*** |
50–64 | 733 | 137 433 | 53.3 | 577 | 141 714 | 40.7 | 1.31 (1.18 to 1.47)*** | 1.31 (1.17 to 1.46)*** |
≥65 | 5900 | 209 022 | 282.3 | 4692 | 232 533 | 201.8 | 1.41 (1.35 to 1.46)*** | 1.38 (1.33 to 1.44)*** |
P for interaction | 0.51 | |||||||
Comorbidity§ | ||||||||
No | 2115 | 406 910 | 52.0 | 1508 | 418 712 | 36.0 | 1.45 (1.35 to 1.54)*** | 1.42 (1.33 to 1.52)*** |
Yes | 4751 | 169 603 | 280.1 | 3903 | 184 927 | 211.1 | 1.33 (1.28 to 1.39)*** | 1.31 (1.26 to 1.37)*** |
P for interaction | 0.04 | |||||||
Follow-up period | ||||||||
<5 years | 5193 | 194 850 | 266.5 | 3753 | 197 188 | 190.3 | 1.40 (1.34 to 1.46)*** | 1.07 (1.00 to 1.15)* |
≧5 years | 1673 | 166 386 | 100.6 | 1658 | 177 139 | 93.6 | 1.34 (1.29 to 1.40)*** | 1.17 (1.09 to 1.25)*** |
Pneumonia | ||||||||
All | 15 912 | 561 694 | 283.3 | 10 929 | 595 609 | 183.5 | 1.54 (1.51 to 1.58)*** | 1.57 (1.54 to 1.61)*** |
Gender | ||||||||
Female | 8740 | 306 705 | 285.0 | 6126 | 323 229 | 189.5 | 1.50 (1.46 to 1.55)*** | 1.49 (1.44 to 1.53)*** |
Male | 7172 | 254 989 | 281.3 | 4803 | 272 380 | 176.3 | 1.59 (1.53 to 1.65)*** | 1.68 (1.62 to 1.75)*** |
P for interaction | 0.02 | |||||||
Age, years | ||||||||
≤49 | 1468 | 226 184 | 64.9 | 557 | 228 317 | 24.4 | 2.66 (2.41 to 2.93)*** | 2.56 (2.32 to 2.82)*** |
50–64 | 2018 | 134 598 | 149.9 | 1330 | 140 288 | 94.8 | 1.59 (1.48 to 1.70)*** | 1.57 (1.47 to 1.69)*** |
≥65 | 12 426 | 200 912 | 618.5 | 9042 | 227 004 | 398.3 | 1.56 (1.52 to 1.60)*** | 1.53 (1.49 to 1.58)*** |
P for interaction | <0.001 | |||||||
Comorbidity§ | ||||||||
No | 6398 | 398 499 | 160.6 | 3657 | 414 829 | 88.2 | 1.82 (1.75 to 1.90)*** | 1.74 (1.67 to 1.82)*** |
Yes | 9514 | 163 195 | 583.0 | 7272 | 180 780 | 402.3 | 1.45 (1.41 to 1.50)*** | 1.45 (1.41 to 1.50)*** |
P for interaction | <0.001 | |||||||
Follow-up period | ||||||||
<5 years | 11 970 | 194 479 | 615.5 | 7447 | 197 003 | 378.0 | 1.63 (1.58 to 1.67)*** | 1.23 (1.18 to 1.29)*** |
≧5 years | 3942 | 156 975 | 251.1 | 3482 | 170 874 | 203.8 | 1.55 (1.50 to 1.59)*** | 1.36 (1.30 to 1.42)*** |
Acute respiratory distress syndrome | ||||||||
All | 542 | 590 138 | 9.18 | 257 | 614 432 | 4.18 | 2.20 (1.89 to 2.55)*** | 2.21 (1.91 to 2.57)*** |
Gender | ||||||||
Female | 254 | 322 312 | 7.88 | 115 | 333 999 | 3.44 | 2.29 (1.84 to 2.85)*** | 2.25 (1.81 to 2.81)*** |
Male | 288 | 267 826 | 10.8 | 142 | 280 433 | 5.06 | 2.12 (1.74 to 2.59)*** | 2.17 (1.78 to 2.66)*** |
P for interaction | 0.62 | |||||||
Age, years | ||||||||
≤49 | 74 | 230 565 | 3.21 | 20 | 229 743 | 0.87 | 3.69 (2.25 to 6.04)*** | 3.47 (2.11 to 5.70)*** |
50–64 | 60 | 139 177 | 4.31 | 38 | 143 117 | 2.66 | 1.63 (1.08 to 2.44)* | 1.60 (1.07 to 2.41)* |
≥65 | 408 | 220 396 | 18.5 | 199 | 241 572 | 8.24 | 2.26 (1.91 to 2.68)*** | 2.22 (1.88 to 2.64)*** |
P for interaction | 0.17 | |||||||
Comorbidity§ | ||||||||
No | 226 | 411 197 | 5.50 | 93 | 421 615 | 2.21 | 2.49 (1.96 to 3.18)*** | 2.42 (1.89 to 3.09)*** |
Yes | 316 | 178 941 | 17.7 | 164 | 192 717 | 8.51 | 2.08 (1.72 to 2.51)*** | 2.08 (1.72 to 2.51)*** |
P for interaction | 0.25 |
*p<0.05, **p<0.01, ***p<0.001.
† Rate, incidence rate, per 10,000 person-years; Crude HR: relative hazard ratio.
‡Adjusted HR: adjusted hazard ratio controlling for age, sex, comorbidities of hypertension, diabetes, hyperlipidemia, atrial fibrillation, CKD, COPD and CCI score.
§Comorbidity: Patients with any one of the comorbidities hypertension, diabetes, hyperlipidemia, atrial fibrillation, CKD and COPD were classified as the comorbidity group.
PY, person-years.