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Table 3 Comparison of risks from sepsis and death between PA patients and their EH matches, for the whole PA cohort and for the APA subgroup only by target treatments

From: Risk of sepsis in patients with primary aldosteronism

Outcome

Adrenalectomy

MRA

Crude

Adjusta

Competing riskb

Crude

Adjusteda

Competing riskb

Hazard ratio (95% CI)

p

Hazard ratio (95% CI)

p

Hazard ratio (95% CI)

p

Hazard ratio (95% CI)

p

Hazard ratio (95% CI)

p

Hazard ratio (95% CI)

p

 

PA vs EH

PA vs EH

Sepsis

0.12 (0.04,0.39)

< 0.001

0.13 (0.04,0.41)

0.001

0.14 (0.04,0.44)

0.001

1.53 (1.15,2.04)

0.004

1.52 (1.14,2.03)

0.004

1.49 (1.12,1.98)

0.006

Septic shock

0.12 (0.03,0.49)

0.003

0.13 (0.03,0.53)

0.005

0.14 (0.03,0.55)

0.005

1.25 (0.87,1.81)

0.231

1.24 (0.86,1.80)

0.249

1.22 (0.84,1.76)

0.300

All-cause mortality

0.20 (0.12,0.33)

< 0.001

0.21 (0.13,0.36)

< 0.001

N/A

N/A

1.06 (0.89,1.26)

0.526

1.05 (0.88,1.25)

0.606

N/A

N/A

 

APA vs EH

APA vs EH

Sepsis

0.14 (0.04,0.45)

0.001

0.14 (0.04,0.46)

0.001

0.16 (0.05,0.53)

0.003

0.55 (0.23,1.35)

0.193

0.55 (0.22,1.33)

0.184

0.44 (0.18,1.07)

0.071

Septic shock

0.14 (0.03,0.60)

0.008

0.14 (0.03,0.61)

0.009

0.16 (0.04,0.67)

0.012

0.59 (0.20,1.78)

0.352

0.57 (0.19,1.70)

0.314

0.46 (0.15,1.36)

0.160

All-cause mortality

0.25 (0.14,0.43)

< 0.001

0.25 (0.15,0.44)

< 0.001

N/A

N/A

0.42 (0.24,0.76)

0.004

0.40 (0.22,0.72)

0.002

N/A

N/A

  1. APA aldosterone-producing adenoma, CI confidence interval, EH essential hypertension, MRA mineralocorticoid antagonist, NA nonavailable, PA primary aldosteronism
  2. aMultivariate Cox regression model selected covariates from all variables presented in Table 1 by a stepwise procedure. This model constructed adrenalectomy, steroid, and potassium supplement for hypokalemia as time-varying covariates
  3. bCompeting risk regression model included age, gender, and propensity score as covariates