Table 3.

SIE hazard estimates at different severity levels of disease controlling for all other variables, using CDAI or HAQ-DI as the measure of disease activity.

CovariateCDAIHAQ-DI
Adjusted HR (95% CI)pAdjusted HR (95% CI)p
CDAI
  Low disease activity2.715 (1.178–6.258)0.0191NANA
  Moderate disease activity4.261 (1.870–9.710)0.0006NANA
  High disease activity4.800 (2.110–10.924)0.0002NANA
HAQ-DI
  0.5–1.0NANA1.700 (1.119–2.584)0.0129
  > 1.0–2.0NANA2.508 (1.731–3.633)< 0.0001
  > 2.0–3.0NANA4.462 (2.990–6.657)< 0.0001
Disease duration1.019 (1.009–1.030)0.00031.014 (1.003–1.024)0.0112
Age at disease onset ≥ 65 yrs1.289 (0.930–1.785)0.12691.217 (0.879–1.685)0.2364
Comorbid asthma or COPD1.925 (1.479–2.505)< 0.00011.767 (1.358–2.298)< 0.0001
Extraarticular manifestations*1.464 (1.147–1.868)0.00221.444 (1.132–1.841)0.0031
Comorbid conditions2.388 (1.662–3.430)< 0.00012.395 (1.671–3.434)< 0.0001
Oral corticosteroid dose
  < 5 mg/day1.599 (1.082–2.362)0.01841.680 (1.142–2.471)0.0084
  5–10 mg/day1.688 (1.277–2.232)0.00021.655 (1.252–2.188)0.0004
  ≥ 10 mg/day2.835 (2.146–3.746)< 0.00012.702 (2.047–3.565)< 0.0001
Nonbiologic DMARD††1.071 (0.810–1.417)0.63011.095 (0.828–1.448)0.5258
Nonbiologic DMARD#0.912 (0.716–1.162)0.45450.947 (0.744–1.205)0.6589
Biologic DMARD1.125 (0.897–1.411)0.30701.080 (0.861–1.354)0.5057
Previous hospitalization due to infection2.284 (1.661–3.138)< 0.00012.044 (1.486–2.811)< 0.0001
  • * Classified as associated with RA.

  • Classified as not associated with RA.

  • †† Classified as posing a significant infection risk.

  • # Classified as not posing a significant infection risk. CDAI: Clinical Disease Activity Index; COPD: chronic obstructive pulmonary disease; DMARD: disease-modifying antirheumatic drug; HAQ-DI: Health Assessment Questionnaire-Disability Index; NA: not applicable; RA: rheumatoid arthritis; SIE: serious infection event.