TABLE 3.
Hospital Events
|
Mortality
|
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---|---|---|---|---|---|---|---|---|---|---|---|---|
Unadjusted
|
Adjustedb
|
Unadjusted
|
Adjustedb
|
|||||||||
Coefficient | 95% CI | p Value | Coefficient | 95% CI | p Value | Coefficient | 95% CI | p Value | Coefficient | 95% CI | p Value | |
I. By antipsychotic type | ||||||||||||
Only atypical antipsychotics (n = 456) | 0.93 | 0.77–1.13 | 0.4762 | 0.86 | 0.71–1.06 | 0.1544 | 0.66 | 0.53–0.81 | 0.0001 | 0.77 | 0.62–0.96 | 0.0227 |
Only conventional antipsychotics (n = 194) | 0.90 | 0.68–1.18 | 0.4399 | 0.97 | 0.73–1.29 | 0.8396 | 0.84 | 0.63–1.11 | 0.2217 | 0.89 | 0.67–1.19 | 0.4245 |
II. By nursing home residence | ||||||||||||
Any antipsychotics, nursing home residents (n = 1610) | 1.04 | 0.87–1.24 | 0.6869 | 0.96 | 0.79–1.17 | 0.6596 | 0.66 | 0.55–0.81 | <.0001 | 0.78 | 0.63–0.96 | 0.0192 |
Any antipsychotics, nonnursing home LTC residents (n = 753) | 1.02 | 0.74–1.40 | 0.9229 | 1.06 | 0.71–1.57 | 0.7862 | 0.70 | 0.48–1.02 | 0.0654 | 0.98 | 0.63–1.52 | 0.9137 |
III. By dementia status | ||||||||||||
Any antipsychotics, those with dementia diagnosis (n = 995) | 1.19 | 0.86–1.38 | 0.4634 | 0.91 | 0.70–1.17 | 0.4488 | 0.72 | 0.57–0.90 | 0.0036 | 0.77 | 0.60–0.98 | 0.0345 |
Any antipsychotics, those without dementia diagnosis (n = 1368) | 1.00 | 0.81–1.23 | 0.9763 | 1.01 | 0.79–1.32 | 0.9203 | 0.54 | 0.41–0.72 | <0.0001 | 0.93 | 0.69–1.26 | 0.6287 |
IV. By age | ||||||||||||
Any antipsychotics, those aged <65 years (n = 409) | 1.33 | 0.80–2.02 | 0.1795 | 1.02 | 0.57–1.81 | 0.9604 | 0.76 | 0.29–1.96 | 0.5693 | 1.61 | 0.54–4.85 | 0.3963 |
Any antipsychotics, those aged >65 years (n = 1954) | 1.04 | 0.88–1.24 | 0.6293 | 0.99 | 0.82–1.19 | 0.9073 | 0.76 | 0.64–0.91 | 0.0024 | 0.78 | 0.65–0.94 | 0.0091 |
For this study, we used a survival analysis (Cox proportional hazard) model. Associated p values are based upon a df of 1 for each parameter in the model.
Adjusted for sex, age, marital status, education, poverty status, urban residence, BMI, physical function, self-reported health, supplemental insurance status, prescription drug insurance, year, number of reported physical conditions, physical restraint use, psychiatric diagnoses, delusion, delirium, number of psychiatric drug classes, and duplicative antipsychotic use.