Coronary disease & ACS

Severe Infection and Risk of Cardiovascular Disease: A Multicohort Study

CirculationPublished Prospective cohort study

Authors' conclusion

Infections severe enough to require hospital treatment were associated with increased risks for major cardiovascular disease events immediately after hospitalization. A small excess risk was also observed in the long-term, but residual confounding cannot be excluded.

Study context

Population
UK Biobank participants without CVD at baseline (2006–2010); replication in 3 Finnish prospective cohorts of community-dwelling participants (baseline 1986–2005)replication n = 271,329
Participants
331,683 participants
Exposure
Hospitalisation for infection vs no record of infectious disease
  • Hospitalized for infectionn = 54,434
Outcome
Major CV events (UK Biobank)
Methodological detailsmulticohort, independent replication cohort
  • Multicohort
  • Independent replication cohort

Main finding

As reported in the abstract

Hospitalized for infection vs No infectionHazard ratio (95% CI)
First month after infection
7.87(6.36–9.73)
Entire follow-up
1.47(1.40–1.54)
Incident major CV event at follow-up
11 649

Observational data: associations, not effects.

Further findings

Replication cohort (3 Finnish cohorts): major CV events after hospitalization for infection

Findings similar in the replication cohort

Population-attributable fraction of severe infections for major CV events (adjusted for traditional CV risk factors)

UK Biobank
4.4%
Replication cohort
6.1%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Severe Infection and Risk of Cardiovascular Disease: A Multicohort Study. Circulation. Published 27 March 2023. doi:10.1161/circulationaha.122.061183

Composed by AI from the published abstract and checked against it. How Briefs are made →

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