Epiglottitis in Patients With Preexisting Autoimmune Diseases: A Nationwide Case–Control Study in Taiwan

Objectives: The role of autoimmune diseases on the risk for acute epiglottitis remains uncertain. This study aimed to delineate the association between epiglottitis and autoimmune diseases using population database. Methods: A population-based retrospective study was conducted to analyze claims data...

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Published in:Ear, nose, & throat journal nose, & throat journal, 2024-01, Vol.103 (1), p.NP40-NP48
Main Authors: Hsu, Cheng-Ming, Tsai, Ming-Shao, Yang, Yao-Hsu, Lin, Ko-Ming, Wang, Yun-Ting, Huang, Shu-Yi, Lin, Meng-Hung, Huang, Ethan I., Chang, Geng-He, Liu, Chia-Yen, Tsai, Yao-Te
Format: Article
Language:English
Subjects:
Autoimmune diseases
Autoimmune Diseases - complications
Autoimmune Diseases - epidemiology
Case-Control Studies
Epidemiology
Epiglottis
Epiglottitis - epidemiology
Humans
Inflammation
Retrospective Studies
Risk Factors
Sjogren's Syndrome - complications
Sjogren's Syndrome - epidemiology
Taiwan - epidemiology
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Summary:Objectives: The role of autoimmune diseases on the risk for acute epiglottitis remains uncertain. This study aimed to delineate the association between epiglottitis and autoimmune diseases using population database. Methods: A population-based retrospective study was conducted to analyze claims data from Taiwan National Health Insurance Research Database collected over January, 2000, to December, 2013. Results: In total, 2339 patients with epiglottitis were matched with 9356 controls without epiglottitis by sex, age, socioeconomic status, and urbanization level. The correlation between autoimmune diseases and epiglottitis was analyzed by multivariate logistic regression. Compared with controls, patients with epiglottitis were much more likely to have preexisting Sjögren syndrome (adjusted odds ratio [aOR]: 2.37; 95% CI: 1.14-4.91; P = .021). In addition, polyautoimmunity was associated with increased risk of epiglottitis (aOR: 2.08; 95% CI: 1.14-3.80; P = .018), particularly in those aged >50 years (aOR: 2.61; 95% CI: 1.21-5.66; P = .015). Conclusions: Among autoimmune diseases, we verify the association between epiglottitis and Sjögren syndrome in Taiwan. Furthermore, we present the novel discovery that patients with epiglottitis have an increased risk of polyautoimmunity, particularly those aged >50 years.
ISSN:0145-5613
1942-7522
DOI:10.1177/01455613211033689