Table 4.

Factors associated with hospitalizations with a discharge diagnosis of infection within 6 months after rituximab in adult patients with incident primary AIHA

VariablesPatients, nEvents, n6-mo cumulative incidence,
% (95% CI)
Univariable
Cox model
Multivariable
Cox model
Multivariable
Fine-Gray model
csHR95% CIcsHR95% CIsHR95% CI
Total 959 169 18 (15-20) 
Age, ≥70 y 530 126 24 (20-27) 2.90 1.85-4.54 2.74 1.64-4.58 2.12 1.10-4.09 
Male sex 378 70 18 (15-22) 1.31 0.89-1.93 1.25 0.83-1.89 1.19 0.69-2.06 
Charlson Comorbidity Index score of ≥1 438 104 24 (20-28) 1.98 1.33-2.94 1.49 0.95-2.33 0.80 0.46-1.42 
Splenectomy 29 17 (6-33) 0.73 0.19-2.81 0.89 0.23-3.43 1.34 0.34-5.39 
Red blood cell transfusions, ≥1 297 72 24 (19-29) 1.66 1.12-2.46 1.46 0.99-2.16 1.06 0.62-1.80 
Corticosteroids 619 112 18 (15-21) 1.49 1.10-2.03 1.59 1.17-2.17 1.52 1.00-2.33 
Other immunosuppressants  43 12 (4-23) 1.21 0.36-4.05 1.35 0.41-4.49 2.63 0.80-8.61 
Pneumococcal vaccination 230 30 13 (9-18) 0.65 0.39-1.08 0.74 0.44-1.23 0.86 0.45-1.66 
Influenzae vaccination 354 73 21 (16-25) 1.32 0.89-1.94 0.87 0.58-1.31 0.76 0.45-1.29 
VariablesPatients, nEvents, n6-mo cumulative incidence,
% (95% CI)
Univariable
Cox model
Multivariable
Cox model
Multivariable
Fine-Gray model
csHR95% CIcsHR95% CIsHR95% CI
Total 959 169 18 (15-20) 
Age, ≥70 y 530 126 24 (20-27) 2.90 1.85-4.54 2.74 1.64-4.58 2.12 1.10-4.09 
Male sex 378 70 18 (15-22) 1.31 0.89-1.93 1.25 0.83-1.89 1.19 0.69-2.06 
Charlson Comorbidity Index score of ≥1 438 104 24 (20-28) 1.98 1.33-2.94 1.49 0.95-2.33 0.80 0.46-1.42 
Splenectomy 29 17 (6-33) 0.73 0.19-2.81 0.89 0.23-3.43 1.34 0.34-5.39 
Red blood cell transfusions, ≥1 297 72 24 (19-29) 1.66 1.12-2.46 1.46 0.99-2.16 1.06 0.62-1.80 
Corticosteroids 619 112 18 (15-21) 1.49 1.10-2.03 1.59 1.17-2.17 1.52 1.00-2.33 
Other immunosuppressants  43 12 (4-23) 1.21 0.36-4.05 1.35 0.41-4.49 2.63 0.80-8.61 
Pneumococcal vaccination 230 30 13 (9-18) 0.65 0.39-1.08 0.74 0.44-1.23 0.86 0.45-1.66 
Influenzae vaccination 354 73 21 (16-25) 1.32 0.89-1.94 0.87 0.58-1.31 0.76 0.45-1.29 

sHR, subdistribution hazard ratio.

Adapted for the French national health database by Bannay et al.11 

Number of transfusions between the diagnosis of AIHA and the index date (first infusion of rituximab).

Azathioprine, cyclosporin, and mycophenolate.

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