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Table 1 Predisposing factors in 2977 patients with invasive pneumococcal disease: proportion, incidence rates and risk of death

From: Epidemiology of invasive pneumococcal infections: manifestations, incidence and case fatality rate correlated to age, gender and risk factors

Predisposing Factor

No. of episodes (%)

Died (No.)

CFR (%)

RR of death (95 % CI)

No. of Pat. with Factorc

Incidenced (No./100,000/y.)

RR to get IPD (95 % CI)

Cardiovascular disease

720 (24)

126

18

2.35 (1.90–2.92)a

   

Pulmonary disease

531 (18)

51

10

0.97 (0.73–1.29)

   

- COPD

307 (10)

38

12

1.29 (0.94–1.78)

49,000

48

3.52 (3.12–3.98)a

- Asthma

145 (5)

4

3

0.27 (0.10–0.71)b

130,000

9

0.57 (0.48–0.68)b

Malignancy

485 (16)

87

18

2.16 (1.71–2.72)a

72,000

52

4.09 (3.69–4.52)a

- Haematological

257 (9)

35

14

1.43 (1.03–1.99)a

4900

403

29.16 (25.66–33.13)a

- - Myeloma

128 (4)

23

18

1.89 (1.28–2.78)a

440

2238

154.37 (132.51–179.84)a

- - Chronic Lymphatic Leukemia

53 (2)

4

8

0.76 (0.29–1.96)

950

429

28.86 (22.13–37.63)a

- Solid tumors

158 (5)

50

32

3.66 (2.82–4.73)a

67,200

18

1.26 (1.07–1.48)a

- - Lung

52 (2)

21

40

4.33 (3.05–6.13)a

1200

333

22.40 (17.11–29.33)a

- - Breast

23 (1)

0

0

n.a.

14,600

12

0.81 (0.53–1.22)

- - Colon

22 (1)

4

18

1.85 (0.76–4.53)

4600

37

2.44 (1.61–3.72)a

- - Prostate

46 (2)

5

11

1.10 (0.48–2.54)

11,900

30

1.99 (1.49–2.67)a

Diabetes mellitus

336 (11)

36

11

1.10 (0.79–1.52)

60,500

43

3.18 (2.83–3.57)a

Autoimmune Disease

227 (8)

26

11

1.17 (0.80–1.72)

   

- Rheumatoid Arthritis

80 (3)

8

10

1.01 (0.52–1.97)

8500

72

4.91 (3.93–6.14)a

- Polymyalgia rheumatica

44 (1)

7

16

1.63 (0.82–3.23)

   

- Systemic Lupus Erythematosus

23 (1)

2

9

0.88 (0.23–3.32)

830

213

14.19 (9.64–21.28)a

Liver disease

99 (3)

11

11

1.13 (0.64–1.99)

   

Renal disease

109 (4)

17

16

1.61 (1.03–2.53)a

   

- Haemodialysis

17 (1)

5

29

3.01 (1.43–6.34)a

385

340

22.56 (14.15–35.98)a

- Peritoneal dialysis

5 (0)

1

20

2.03 (0.35–11.75)

137

281

18.57 (7.85–43.96)a

Immune deficiency

93 (3)

7

8

0.76 (0.37–1.55)

   

- HIV

13 (0)

1

8

0.78 (0.12–5.13)

407

246

16.30 (9.53–27.87)a

- Bone Marrow Transplant

20 (1)

2

10

1.01 (0.27–3.79)

   

- Hypogammaglobulinemia

22 (1)

0

0

    

- MGUS

26 (1)

2

8

0.59 (0.16–2.26)

17,000

12

0.81 (0.56–1.19)

Immunosuppressive treatment

279 (9)

36

13

1.35 (0.97–1.87)

   

Asplenia

41 (1)

5

12

1.24 (0.54–2.84)

1500

210

14.08 (10.38–19.10)a

Alcohol Dependency

220 (7)

23

10

1.06 (0.71–1.59)

   

≥ 1 predisposing factore

1994 (67)

257

12.9

3.43 (2.45–4.81)a

   

All Episodes

2977 (100)

294

9.9

 

1,512,233

15

 
  1. n.a not applicable
  2. aSignificantly higher relative risk (RR) to to die respectively to get IPD within 30 days from culture for a patient with this risk factor compared to all patients without this risk factor
  3. bSignificantly lower RR to die respectively to get IPD among asthma patients. The risk to die remainded significantly lower after correcting for age, sex and comorbidity. See text for details
  4. cEstimated average no of patients living in the area based on estimated prevalence
  5. dEstimated annual incidence among patients living with factor
  6. eAll patients with at least one risk factor. CFR among patients without any risk factor was 3.8 % (37/983)