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. 2008 Mar 11;336(7648):813–816. doi: 10.1136/bmj.39507.551644.BE

Table 2.

 Crude and adjusted relative risk (95% confidence intervals) for atrial fibrillation and flutter among current and former users of bisphosphonates

Variable Crude relative risk (95% CI) Adjusted relative risk* (95% CI)
Bisphosphonate use
Current 1.10 (0.98 to 1.23) 0.95 (0.84 to 1.07)
Former 1.24 (1.08 to 1.41) 1.04 (0.90 to 1.21)
Never 1 (reference) 1 (reference)
New v continuing use:
 New current users 0.90 (0.59 to 1.37) 0.75 (0.49 to 1.16)
 Continuing users 1.12 (1.00 to 1.25) 0.96 (0.85 to 1.09)
 Never users 1 (reference) 1 (reference)
No of prescriptions for bisphosphonates, current users
 1-3 1.27 (1.06 to 1.52) 1.05 (0.86 to 1.27)
 4-9 1.24 (1.07 to 1.43) 1.07 (0.92 to 1.25)
 ≥10 1.05 (0.93 to 1.19) 0.90 (0.79 to 1.03)
Stratified on cardiovascular disease†
Previous hospital diagnoses of cardiovascular disease, bisphosphonate use:
 Current 1.25 (0.90 to 1.74) 1.13 (0.78 to 1.64)
 Former 1.21 (0.81 to 1.79) 1.07 (0.70 to 1.65)
 Never 1 (reference) 1 (reference)
No previous hospital diagnoses of cardiovascular disease, bisphosphonate use:
 Current 1.06 (0.92 to 1.21) 0.93 (0.80 to 1.07)
 Former 1.11 (0.94 to 1.32) 0.97 (0.81 to 1.16)
 Never 1 (reference) 1 (reference)

*Adjusted for cardiovascular disease; renal failure; diabetes; pulmonary diseases; cancer, liver diseases; alcoholism; acute alcohol intoxication; hyperthyroidism; osteoporosis; hip or wrist fracture; use of cardiovascular drugs, antithyroid drugs, hormone replacement therapy, respiratory drug use, use of oral glucocorticoids.

†Defined as previous hospital diagnosis of cardiovascular disease.