Research Article

Incidence and Risk Factors for Infections Requiring Hospitalization, Including Pneumocystis Pneumonia, in Japanese Patients with Rheumatoid Arthritis

Table 1

Characteristics of patients with or without infections.

Without infection (2414 pts)With infection (274 pts) value

Female83.9%73.7%<0.0001
Age, years, mean (SD)63.7 (12.3)70.4 (9.9)<0.0001
Over 70 years of age34.4%60.2%<0.0001
Disease duration of RA, years, median (IQR)12 (5–22)16 (9–26)<0.0001
Rheumatoid factor, mean, U/ml142.2240.1<0.0001
eGFR, mL/min/1.73 m2, median (IQR)80 (70–95)75 (60–95.5)0.002
eGFR < 60 mL/min/1.73 m211.1%22.6%<0.0001
Underlying lung disease14.9%50.0%<0.0001
DAS28-ESR, mean ± SD3.1 ± 1.13.7 ± 1.2<0.0001
Stage III or IV48.5%70.1%<0.0001
Class III or IV14.6%47.8%<0.0001
Treated with corticosteroids (median dose, mg/day)51.8% (3.75)85.4% (5)<0.0001
Treated with MTX (median dose, mg/week)59.6% (8)40.4% (8)<0.0001
Treated with biologics13.0%18.1%0.009
 Etanercept40.9%37.7%
 Tocilizumab25.5%24.6%
 Adalimumab13.9%13.1%
 Infliximab9.3%6.6%
 Abatacept6.3%9.8%
 Golimumab4.2%8.2%
Treated with immunosuppressants7.9%13.2%0.001

eGFR, estimated glomerular filtration rate; DAS28-ESR, disease activity score in 28 joints with erythrocyte sedimentation rate; Stage, Steinbrocker’s radiographic stage score; Class, global functional status; NSAIDs, nonsteroidal anti-inflammatory drugs; MTX, methotrexate. Dose of corticosteroids is expressed in prednisolone equivalents. Patients who did not receive corticosteroids or MTX were excluded for calculating median doses.