Thyroid function and risk of bloodstream infections: Results from the Norwegian prospective population-based HUNT Study

被引:2
作者
Thorkildsen, Marianne S. [1 ]
Mohus, Randi M. [1 ,2 ]
Asvold, Bjorn O. [3 ,4 ,5 ]
Skei, Nina V. [1 ,6 ]
Nilsen, Tom I. L. [2 ,7 ]
Solligard, Erik [1 ,2 ]
Damas, Jan K. [1 ,8 ,9 ,10 ]
Gustad, Lise T. [1 ,11 ]
机构
[1] NTNU, Inst Circulat & Med Imaging, Gemini Ctr Sepsis Res, N-7491 Trondheim, Norway
[2] St Olavs Hosp, Clin Anesthesia & Intens Care, Trondheim, Norway
[3] NTNU, Dept Publ Hlth & Nursing, KG Jebsen Ctr Genet Epidemiol, Trondheim, Norway
[4] St Olavs Hosp, Dept Endocrinol, Med Clin, Trondheim, Norway
[5] NTNU, Dept Publ Hlth & Nursing, HUNT Res Ctr, Levanger, Norway
[6] Nord Trondelag Hosp Trust, Levanger Hosp, Dept Anesthesia & Intens Care, Levanger, Norway
[7] Norwegian Univ Sci & Technol, Dept Publ Hlth & Nursing, Trondheim, Norway
[8] NTNU, Ctr Mol Inflammat Res, Trondheim, Norway
[9] NTNU, Dept Clin & Mol Med, Trondheim, Norway
[10] St Olavs Hosp, Dept Infect Dis, Trondheim, Norway
[11] Nord Trondelag Hosp Trust, Levanger Hosp, Clin Med & Rehabil, Levanger, Norway
关键词
epidemiology; infections; risk factors; sepsis; thyroid gland; thyroid hormone; thyrotropin; CORONARY-HEART-DISEASE; 11-YEAR FOLLOW-UP; REFERENCE RANGE; HYPOTHYROIDISM; HORMONES; SEPSIS; HYPERTHYROIDISM; DYSFUNCTION; MORTALITY; EPIDEMIOLOGY;
D O I
10.1111/cen.14658
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective Previous studies on thyroid function and risk of infection is conflicting and often stem from intensive care cohorts were nonthyroidal illness syndrome (NTIS) may be present. The objective of this study was to identify the risk of bloodstream infections (BSI) and BSI-related mortality with thyroid-stimulating hormone (TSH) levels within the reference range in a general population. Design Prospective follow-up. Participants The HUNT2 (1995-97) included 34,619 participants with information on TSH levels. Measurements Hazard ratios (HRs) with 95% confidence interval (CI) confirmed BSIs and BSI-related mortality until 2011. Results During a median follow-up of 14.5 years, 1179 experienced at least one episode of BSI and 208 died within 30 days after a BSI. TSH levels within the reference range of 0.5-4.5 mU/L were not associated with the risk of first-time BSI, with an HR of 0.97 (95% CI: 0.90-1.04) per mU/L. Stratified by baseline age < or >= 65 years, TSH was inversely associated with the risk of BSI (HR: 0.88; 95% CI: 0.78-1.00 per mU/L) in the youngest age group only. Persons with any baseline thyroid disease had a 30% risk and the hyperthyroid subgroup a 57%, and hypothyroidism a 20% increased risk of BSI. TSH levels were not clearly associated with BSI mortality, but the HRs were imprecise due to few BSI-related deaths. Conclusion There was some evidence of a weak inverse association between TSH levels and the risk of BSI in persons below 65 years of age. The increased risk seen in persons with thyroid illness is probably explained by confounding by concurrent ill health.
引用
收藏
页码:896 / 906
页数:11
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