Clinical Study

The Modification Effect of Influenza Vaccine on Prognostic Indicators for Cardiovascular Events after Acute Coronary Syndrome: Observations from an Influenza Vaccination Trial

Table 3

Multivariable hazard ratios stratified by influenza vaccination for each cardiovascular event, which was analyzed by multivariable stratified Cox’s regression analysis.

Prognostic indicatorsNo vaccinationInfluenza vaccination
HR (95% CI)P valueHR (95% CI)P value

MACEs
 LVEF (%)
  ≤402.07
(1.12–3.82)
0.0212.37
(1.01–5.59)
0.048
 Medication
  ACE-I/ARB0.44
(0.23–0.83)
0.0121.12
(0.45–2.78)
0.806
Death
 Age (year)
  >6510.78
(1.39–83.62)
0.0232.28
(0.42–12.48)
0.341
 Medication
  ACE-I/ARB0.26
(0.07–0.94)
0.0411.15
(0.21–6.30)
0.870
Composite hospitalization due to ACS, HF, or stroke
 LVEF (%)
  ≤402.25
(1.14–4.45)
0.0202.16
(0.81–5.76)
0.124
 Medication
  ACE-I/ARB0.48
(0.24–0.99)
0.0461.23
(0.43–3.54)
0.701
Hospitalization due to ACS
 No indicator was found
Hospitalization due to HF
 CKD 5.12
(1.27–20.65)
0.02224.01
(1.38–417.20)
0.029
 LVEF (%)
  ≤407.93
(1.63–38.66)
0.0108.37
(0.72–97.72)
0.090
 Medication
  Beta-blocker1.63
(0.34–7.78)
0.5420.05
(0.003–0.76)
0.037

MACEs, major adverse cardiovascular events; LVEF, left ventricular ejection fraction; ACE-I, angiotensin-converting enzyme inhibitor; ARB, angiotensin II receptor blocker; ACS, acute coronary syndrome; HF, heart failure; CKD, chronic kidney disease.