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Table 3 Exposure to proton pump inhibitors and risk of hospitalisation for pneumonia; self- controlled case-series adjusted analysis

From: Proton pump inhibitors and the risk of pneumonia: a comparison of cohort and self-controlled case series designs

Risk periods

Number of hospitalizations for pneumonia

Person-years

Adjusted* rate ratios (95% CI)

Adjusted** rate ratios (95% CI)

Baseline unexposed to a proton pump inhibitor

Unexposed

5544

18632

1.0

1.0

Pre-exposure to a proton pump inhibitor

Pre 1–30 days

476

383

5.24 (4.94 – 5.57)

5.17 (4.86 – 5.49)

Pre 31–60 days

166

353

2.02 (1.85 – 2.20)

2.00 (1.83 – 2.18)

Pre 61–120 days

148

589

1.09 (0.99 – 1.19)

1.07 (0.98 – 1.17)

Post-exposure to proton pump inhibitors

1–7 days

69

90

3.22 (2.83 – 3.66)

3.07 (2.69 – 3.50)

8–30 days

135

287

2.01 (1.82 – 2.21)

2.00 (1.82 – 2.20)

>30 days

1131

2978

1.67 (1.58 – 1.77)

1.66 (1.56 – 1.76)

  1. * Adjusted for time-varying age and study year only.
  2. **Adjusted for time-varying age, study year, number of co-morbidities (assessed annually using the validated Rx-Risk-V [12] score), season, residential aged-care status, use of tiotropium as a proxy indicator of chronic obstructive pulmonary disease (COPD), use of angiotensin renin system medicines concurrent with frusemide as a proxy indicator of those with heart failure, number of prescriptions, number of prescribers, number of pharmacies, occupational therapy visits and speech pathology services.