Table 3.

Analysis of Risk Factors Associated With Pneumonia at Presentation

Risk FactorNo.Pneumonia (n = 134)No Pneumonia (n = 472)P Value (Univariate)Multivariate OR
(95% CI)
P Value (Multivariate)
Age, y, median (range)60658 (3–83)54 (1–84).011.02 (1.00–1.04).016
Time from transplant, y, median (range)6062.48 (0.03–30.7)3.28 (0.01–40.7).87
Influenza A (vs B)603107/132 (81.1)361/471 (76.6).28
SOT (vs HSCT)60698/134 (73.1)371/472 (78.6).18
Lung transplant (vs nonlung)60626/116 (22.4)90/472 (19.1).93
Hospital-acquired influenza60610/134 (7.5)45/472 (9.5).46
Influenza vaccination in the same season54363/119 (52.9)306/416 (73.6)<.0010.34 (.21–.55)<.001
Prednisone (Y/N)60695/134 (70.9)308/472 (65.3).22
Calcineurin inhibitor (Y/N)60691/134 (67.9)376/472 (79.7).0040.50 (.29–.88).016
Mycophenolate60677/134 (57.5)230/472 (48.7).0741.69 (1.03–2.74).035
Azathioprine6068/134 (6.0)24/472 (5.1).69
Sirolimus/everolimus60617/134 (12.7)42/472 (8.9).19
≥2 comorbiditiesa60228/131 (21.4)65/471 (13.8).0341.86 (1.04–3.31).035
Hypogammaglobulinemiab (IgG <700 mg/dL)25122/47 (46.8)64/204 (31.4).044
Lymphopenia (ALC <1000 cells/µL)c50971/116 (61.2)212/393 (53.9).17
Early antiviral therapy55330/123 (24.4)175/430 (40.7).0010.51 (.31–.86).011
Risk FactorNo.Pneumonia (n = 134)No Pneumonia (n = 472)P Value (Univariate)Multivariate OR
(95% CI)
P Value (Multivariate)
Age, y, median (range)60658 (3–83)54 (1–84).011.02 (1.00–1.04).016
Time from transplant, y, median (range)6062.48 (0.03–30.7)3.28 (0.01–40.7).87
Influenza A (vs B)603107/132 (81.1)361/471 (76.6).28
SOT (vs HSCT)60698/134 (73.1)371/472 (78.6).18
Lung transplant (vs nonlung)60626/116 (22.4)90/472 (19.1).93
Hospital-acquired influenza60610/134 (7.5)45/472 (9.5).46
Influenza vaccination in the same season54363/119 (52.9)306/416 (73.6)<.0010.34 (.21–.55)<.001
Prednisone (Y/N)60695/134 (70.9)308/472 (65.3).22
Calcineurin inhibitor (Y/N)60691/134 (67.9)376/472 (79.7).0040.50 (.29–.88).016
Mycophenolate60677/134 (57.5)230/472 (48.7).0741.69 (1.03–2.74).035
Azathioprine6068/134 (6.0)24/472 (5.1).69
Sirolimus/everolimus60617/134 (12.7)42/472 (8.9).19
≥2 comorbiditiesa60228/131 (21.4)65/471 (13.8).0341.86 (1.04–3.31).035
Hypogammaglobulinemiab (IgG <700 mg/dL)25122/47 (46.8)64/204 (31.4).044
Lymphopenia (ALC <1000 cells/µL)c50971/116 (61.2)212/393 (53.9).17
Early antiviral therapy55330/123 (24.4)175/430 (40.7).0010.51 (.31–.86).011

Data are presented as no./No. (%) unless otherwise indicated. Bold font represents P-values <.05.

Abbreviations: ALC, absolute lymphocyte count; CI, confidence interval; HSCT, hematopoietic stem cell transplantation; IgG, immunoglobulin G; OR, odds ratio; SOT, solid organ transplantation.

aDiabetes, chronic lung disease (asthma/chronic obstructive pulmonary disease) in non–lung transplant patients, chronic kidney insufficiency (glomerular filtration rate <30 mL/minute), obesity (body mass index >30 kg/m2).

bWithin 1 year prior to influenza diagnosis. Excluded from multivariate analysis as only 40.6% of patients had this information available.

cAt presentation.

Table 3.

Analysis of Risk Factors Associated With Pneumonia at Presentation

Risk FactorNo.Pneumonia (n = 134)No Pneumonia (n = 472)P Value (Univariate)Multivariate OR
(95% CI)
P Value (Multivariate)
Age, y, median (range)60658 (3–83)54 (1–84).011.02 (1.00–1.04).016
Time from transplant, y, median (range)6062.48 (0.03–30.7)3.28 (0.01–40.7).87
Influenza A (vs B)603107/132 (81.1)361/471 (76.6).28
SOT (vs HSCT)60698/134 (73.1)371/472 (78.6).18
Lung transplant (vs nonlung)60626/116 (22.4)90/472 (19.1).93
Hospital-acquired influenza60610/134 (7.5)45/472 (9.5).46
Influenza vaccination in the same season54363/119 (52.9)306/416 (73.6)<.0010.34 (.21–.55)<.001
Prednisone (Y/N)60695/134 (70.9)308/472 (65.3).22
Calcineurin inhibitor (Y/N)60691/134 (67.9)376/472 (79.7).0040.50 (.29–.88).016
Mycophenolate60677/134 (57.5)230/472 (48.7).0741.69 (1.03–2.74).035
Azathioprine6068/134 (6.0)24/472 (5.1).69
Sirolimus/everolimus60617/134 (12.7)42/472 (8.9).19
≥2 comorbiditiesa60228/131 (21.4)65/471 (13.8).0341.86 (1.04–3.31).035
Hypogammaglobulinemiab (IgG <700 mg/dL)25122/47 (46.8)64/204 (31.4).044
Lymphopenia (ALC <1000 cells/µL)c50971/116 (61.2)212/393 (53.9).17
Early antiviral therapy55330/123 (24.4)175/430 (40.7).0010.51 (.31–.86).011
Risk FactorNo.Pneumonia (n = 134)No Pneumonia (n = 472)P Value (Univariate)Multivariate OR
(95% CI)
P Value (Multivariate)
Age, y, median (range)60658 (3–83)54 (1–84).011.02 (1.00–1.04).016
Time from transplant, y, median (range)6062.48 (0.03–30.7)3.28 (0.01–40.7).87
Influenza A (vs B)603107/132 (81.1)361/471 (76.6).28
SOT (vs HSCT)60698/134 (73.1)371/472 (78.6).18
Lung transplant (vs nonlung)60626/116 (22.4)90/472 (19.1).93
Hospital-acquired influenza60610/134 (7.5)45/472 (9.5).46
Influenza vaccination in the same season54363/119 (52.9)306/416 (73.6)<.0010.34 (.21–.55)<.001
Prednisone (Y/N)60695/134 (70.9)308/472 (65.3).22
Calcineurin inhibitor (Y/N)60691/134 (67.9)376/472 (79.7).0040.50 (.29–.88).016
Mycophenolate60677/134 (57.5)230/472 (48.7).0741.69 (1.03–2.74).035
Azathioprine6068/134 (6.0)24/472 (5.1).69
Sirolimus/everolimus60617/134 (12.7)42/472 (8.9).19
≥2 comorbiditiesa60228/131 (21.4)65/471 (13.8).0341.86 (1.04–3.31).035
Hypogammaglobulinemiab (IgG <700 mg/dL)25122/47 (46.8)64/204 (31.4).044
Lymphopenia (ALC <1000 cells/µL)c50971/116 (61.2)212/393 (53.9).17
Early antiviral therapy55330/123 (24.4)175/430 (40.7).0010.51 (.31–.86).011

Data are presented as no./No. (%) unless otherwise indicated. Bold font represents P-values <.05.

Abbreviations: ALC, absolute lymphocyte count; CI, confidence interval; HSCT, hematopoietic stem cell transplantation; IgG, immunoglobulin G; OR, odds ratio; SOT, solid organ transplantation.

aDiabetes, chronic lung disease (asthma/chronic obstructive pulmonary disease) in non–lung transplant patients, chronic kidney insufficiency (glomerular filtration rate <30 mL/minute), obesity (body mass index >30 kg/m2).

bWithin 1 year prior to influenza diagnosis. Excluded from multivariate analysis as only 40.6% of patients had this information available.

cAt presentation.

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