Skip to main content

Table 2 Clinical characteristics, complications and HCRU during the 6-month baseline period

From: Real-world association between systemic corticosteroid exposure and complications in US patients with severe asthma

Characteristics

SCS use cohort

N = 7473

Non/burst-SCS use cohort

N = 89,281

Standardized difference (%)

Quan-CCI, mean (SD) [median]

2.40 (1.93) [2]

1.30 (1.28) [1]

66.7*

Controller medications, n (%)

   

Any use

5267 (70.5)

32,264 (36.1)

68.8*

Inhaled corticosteroid (ICS/long-acting

β2-agonist (LABA)

3176 (42.5)

15,190 (17.0)

55.7*

Leukotriene modifiers

2971 (39.8)

15,477 (17.3)

49.6*

Long-acting muscarinic antagonist (LAMA)

1177 (15.8)

1667 (1.9)

49.0*

Inhaled corticosteroids

1055 (14.1)

7414 (8.3)

18.4*

Multiple-inhaler triple therapy†

983 (13.2)

914 (1.0)

47.3*

Biologics

416 (5.6)

861 (1.0)

25.9*

Methylxanthines

375 (5.0)

357 (0.4)

28.4*

LAMA/LABA

211 (2.8)

290 (0.3)

20.1*

LABA

194 (2.6)

245 (0.3)

19.5*

Single-inhaler triple therapy

138 (1.8)

247 (0.3)

15.3*

Mast cell stabilizers

12 (0.2)

18 (0.0)

4.7

Rescue medications, n (%)

   

Any use

6230 (83.4)

55,610 (62.3)

47.4*

Antibiotics

4946 (66.2)

41,774 (46.8)

39.1*

Short-acting β2-agonist (SABA)

3984 (53.3)

32,581 (36.5)

33.8*

SABA/short-acting muscarinic antagonist (SAMA)

1569 (21.0)

3344 (3.7)

52.4*

SAMA

372 (5.0)

798 (0.9)

24.2*

Healthcare resource utilization, mean (SD) [median]

   

All-cause

   

Inpatient visits

0.42 (0.88) [0]

0.14 (0.47) [0]

39.4*

Emergency room visits

0.91 (2.39) [0]

0.68 (1.82) [0]

11.0*

Outpatient visits

15.61 (13.25) [12]

8.20 (9.13) [6]

65.1*

Outpatient hospital visits

5.28 (9.83) [2]

1.73 (4.81) [0]

45.9*

Office visits

9.32 (7.98) [7]

6.04 (6.53) [4]

45.0*

Other outpatient visits

1.00 (4.27) [0]

0.43 (2.92) [0]

15.6*

Other visits

5.22 (10.30) [1]

1.21 (4.50) [0]

50.4*

Asthma-related

   

Inpatient visits

0.06 (0.29) [0]

0.03 (0.19) [0]

10.7*

Emergency room visits

0.10 (0.73) [0]

0.12 (0.44) [0]

3.1

Outpatient visits

1.02 (2.40) [0]

0.71 (1.41) [0]

15.9*

Outpatient hospital visits

0.26 (1.28) [0]

0.13 (0.73) [0]

12.5*

Office visits

0.75 (1.88) [0]

0.57 (1.17) [0]

11.1*

Other outpatient visits

0.02 (0.16) [0]

0.01 (0.09) [0]

7.5

Other visits

0.32 (1.48) [0]

0.10 (0.75) [0]

18.6*

Exacerbations during baseline, mean (SD) [median]

   

Inpatient exacerbations‡

0.05 (0.26) [0]

0.03 (0.19) [0]

10.0*

Outpatient/emergency room exacerbations§

0.40 (0.88) [0]

0.31 (0.57) [0]

11.8*

Patients with ≥ 1 exacerbation during baseline, n (%)

   

Inpatient exacerbations‡

347 (4.6)

2603 (2.9)

9.1

Outpatient/emergency room exacerbations§

1760 (23.6)

23,907 (26.8)

7.4

Patients with ≥ 1 exacerbation on the index date, n (%)

   

Inpatient exacerbations‡

13 (0.2)

76 (0.1)

2.5

Outpatient/emergency room exacerbations§

282 (3.8)

10,159 (11.4)

28.7*

Any SCS-related complication, n (%)

6960 (93.1)

66,805 (74.8)

49.9*

Acute

   

Immune system related

4094 (54.8)

33,759 (37.8)

34.0*

Gastrointestinal

1218 (16.3)

8704 (9.7)

19.5*

Cardiovascular

480 (6.4)

2016 (2.3)

20.4*

Bone and muscle related

27 (0.4)

340 (0.4)

0.3

Chronic

   

Cardiovascular

5422 (72.6)

37,886 (42.4)

60.9*

Metabolic and endocrine

5038 (67.4)

41,057 (46.0)

43.2*

Cushing’s syndrome

75 (1.0)

40 (0.0)

13.3*

Central nervous system

3865 (51.7)

31,519 (35.3)

33.1*

Bone and muscle related

2968 (39.7)

18,426 (20.6)

41.6*

Ophthalmologic

1048 (14.0)

6326 (7.1)

22.6*

Hematologic/oncologic

746 (10.0)

2930 (3.3)

26.9*

Dermatologic

131 (1.8)

2165 (2.4)

4.7

Gastrointestinal

1 (0.0)

2 (0.0)

1.3

  1. *Standardized difference ≥ 10%; †≥1 overlapping ICS, LABA and LAMA supply days; ‡requiring an asthma-related IP visit; §requiring an asthma-related OP/ER visit with ≥ 1 SCS claim within − 4/+5 days of the encounter. Quan-CCI, Quan-Charlson comorbidity index; SCS, systemic corticosteroids