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Table 5 Cox regression analyses assessing unadjusted, age & sex-adjusted and multivariable-adjusted risk of all-cause mortality in the total study cohort (N = 79,083)

From: COVID19-related and all-cause mortality risk among middle-aged and older adults across the first epidemic wave of SARS-COV-2 infection: a population-based cohort study in Southern Catalonia, Spain, March–June 2020

Characteristic

All-cause deaths (n = 576)

Unadjusted

HR (95% CI) p-value

Age & sex adjusted

HR (95% CI) p-value

Multivariable

HR (95% CI) p-value

Sociodemographical

Age (continuous yrs)

1.12 (1.12–1.13) < 0.001

1.13 (1.12–1.14) < 0.001

1.08 (1.07–1.09) < 0.001

Sex, women

0.82 (0.70–0.97) 0.020

0.58 (0.49–0.68) < 0.001

0.68 (0.56–0.81) < 0.001

Nursing-home residence

24.37 (20.33–29.22) < 0.001

6.34 (5.18–7.76) < 0.001

1.63 (1.28–2.09) < 0.001

Comorbidities

Neurological disease

8.90 (7.28–10.89) < 0.001

2.55 (2.06–3.15) < 0.001

1.48 (1.18–1.85) 0.001

Renal disease

5.13 (4.22–6.22) < 0.001

1.42 (1.17–1.74) 0.001

1.18 (0.95–1.46) 0.130

Cancer

4.55 (3.80–5.44) < 0.001

2.64 (2.20–3.17) < 0.001

2.46 (2.03–2.98) < 0.001

Rheumatic disease

1.59 (0.85–2.97) 0.146

1.42 (0.76–2.65) 0.276

0.89 (0.46–1.71) 0.717

Respiratory disease

2.87 (2.36–3.49) < 0.001

1.75 (1.43–2.13) < 0.001

1.26 (0.96–1.66) 0.098

Cardiac disease

4.14 (3.51–4.88) < 0.001

1.69 (1.43–2.00) < 0.001

1.29 (1.06–1.56) 0.009

Atrial fibrillation

4.98 (4.06–6.11) < 0.001

1.50 (1.22–1.85) < 0.001

0.87 (0.63–1.19) 0.384

Liver disease

2.12 (1.38–3.24) 0.001

2.68 (1.75–4.10) < 0.001

1.76 (1.14–2.73) 0.012

Diabetes

2.31 (1.94–2.75) < 0.001

1.42 (1.19–1.69) < 0.001

1.07 (0.80–1.44) 0.652

Hypertension

3.03 (2.53–3.62) < 0.001

1.08 (0.90–1.30) 0.399

1.19 (0.95–1.48) 0.125

Obesity

0.94 (0.78–1.13) 0.513

0.92 (0.76–1.11) 0.274

0.89 (0.73–1.08) 0.219

Smoking

0.60 (0.46–0.79) < 0.001

1.79 (1.35–2.38) < 0.001

1.30 (0.97–1.74) 0.078

Alcoholism

1.31 (0.81–2.12) 0.273

2.14 (1.31–3.49) 0.002

1.42 (0.86–2.36) 0.173

Chronic medications use

Diuretics

5.95 (5.04–7.02) < 0.001

2.22 (1.86–2.64) < 0.001

1.55 (1.27–1.88) < 0.001

Beta blockers

2.30 (1.90–2.78) < 0.001

1.36 (1.12–1.64) 0.002

1.11 (0.90–1.37) 0.351

ACEIs

1.25 (1.03–1.51) 0.021

0.73 (0.60–0.88) 0.001

0.64 (0.52–0.79) < 0.001

ARBs

0.99 (0.76–1.28) 0.927

0.59 (0.46–0.77) < 0.001

0.53 (0.40–0.71) < 0.001

Calcium channel blockers

1.58 (1.23–2.02) < 0.001

0.83 (0.65–1.07) 0.151

0.81 (0.62–1.05) 0.114

Statins

1.06 (0.87–1.29) 0.582

0.72 (0.59–0.88) 0.002

0.73 (0.57–0.92) 0.008

Oral anticoagulants

3.59 (2.87–4.50) < 0.001

1.27 (1.01–1.59) 0.041

1.10 (0.77–1.57) 0.594

Antiplatelet drugs

3.30 (2.76–3.95) < 0.001

1.37 (1.14–1.64) 0.001

1.20 (0.97–1.49) 0.096

Insulin

2.93 (2.24–3.83) < 0.001

1.88 (1.44–2.46) < 0.001

1.15 (0.84–1.59) 0.376

Oral antidiabetic drugs

1.76 (1.44–2.15) < 0.001

1.19 (0.97–1.45) 0.089

1.19 (0.87–1.62) 0.270

Inhaled respiratory drugs

3.24 (2.66–3.95) < 0.001

1.77 (1.45–2.16) < 0.001

1.08 (0.82–1.44) 0.575

Antineoplastic agents

1.37 (0.83–2.25) 0.213

1.40 (0.85–2.30) 0.187

0.63 (0.37–1.06) 0.082

Systemic corticosteroids

6.81 (5.17–8.98) < 0.001

4.02 (3.05–5.30) < 0.001

3.49 (2.59–4.70) < 0.001

NSADs

0.31 (0.16–0.57) < 0.001

0.52 (0.28–0.98) 0.043

0.65 (0.35–1.23) 0.189

Antihistamines

0.45 (0.25–0.82) < 0.001

0.52 (0.29–0.95) 0.034

0.58 (0.32–1.05) 0.073

Proton-Pump Inhibitors

4.06 (3.45–4.78) < 0.001

1.81 (1.53–2.14) < 0.001

1.25 (1.03–1.51) 0.026

Benzodiazepines

2.06 (1.72–2.47) < 0.001

1.45 (1.20–1.74) < 0.001

1.34 (1.11–1.61) 0.003

Vaccination’s history

Flu vaccine in prior autumn

4.04 (3.42–4.78) < 0.001

1.24 (1.04–1.48) 0.017

1.03 (0.84–1.27) 0.761

PPV23

4.43 (3.72–5.29) < 0.001

0.90 (0.75–1.09) 0.287

0.92 (0.72–1.18) 0.517

PCV13

3.01 (2.00–4.53) < 0.001

1.81 (1.20–2.72) 0.005

1.13 (0.74–1.73) 0.577

Tetanus

1.44 (1.20–1.72) < 0.001

0.83 (0.69–0.99) 0.042

0.88 (0.70–1.10) 0.263

COVID19-RELATED STATUS:

Healthy/COVID19-nonrelated

1.00 (reference) < 0.001

1.00 (reference) < 0.001

1.00 (reference) < 0.001

COVID19-excluded (PCR-)

10.78 (8.86–13.12) < 0.001

6.44 (5.28–7.87) < 0.001

4.24 (3.43–5.25) < 0.001

COVID19-suspected

21.29 (10.01–45.30) < 0.001

35.89 (16.86–76.42) < 0.001

33.25 (15.53–71.20) < 0.001

COVID19-confirmed (PCR+)

181.20 (144–29-227.54) < 0.001

74.31 (58.49–94.40) < 0.001

45.97 (35.01–60.37) < 0.001

  1. HRs denotes Hazard ratios, and were calculated for those who had the condition as compared with those who had not the condition. In multivariable analysis the HRs were adjusted for age (continuous years), sex, residence, pre-existing comorbidities/underlying conditions, chronic medications use, vaccination’s history and Covid19-related status across study period, CIs denote confidence intervals