TABLE 3.
Results of the Cox Regression Model Examining Risks Associated With Nursing Home Admission in Patients With Probable Alzheimer’s Disease Taking Conventional or Atypical Antipsychoticsa
Model 1 | Model 2 | Model 3 | |||||||
---|---|---|---|---|---|---|---|---|---|
Variable | Hazard Ratio | 95% CI | p | Hazard Ratio | 95% CI | p | Hazard Ratio | 95% CI | p |
Conventional antipsychotics | 2.21 | 1.68–2.90 | <0.0001 | 2.27 | 1.71–3.01 | <0.0001 | 1.30 | 0.95–1.79 | 0.10 |
Atypical antipsychotics | 1.01 | 0.62–1.65 | 0.97 | 1.05 | 0.64–1.72 | 0.84 | 1.02 | 0.61–1.71 | 0.94 |
Age | 1.00 | 0.99–1.01 | 0.93 | 0.99 | 0.98–1.01 | 0.30 | 1.00 | 0.98–1.01 | 0.59 |
Education | 1.05 | 1.01–1.09 | 0.01 | 1.05 | 1.01–1.10 | 0.01 | 1.07 | 1.03–1.11 | 0.001 |
Gender | 0.92 | 0.71–1.18 | 0.50 | 0.88 | 0.68–1.13 | 0.30 | 0.83 | 0.64–1.08 | 0.17 |
MMSE score | 0.94 | 0.92–0.97 | <0.0001 | 0.94 | 0.92–0.97 | <0.0001 | 0.95 | 0.93–0.97 | <0.0001 |
Extrapyramidal signs | 1.28 | 1.00–1.64 | 0.05 | 1.29 | 1.00–1.65 | 0.04 | |||
Incident stroke | 1.01 | 0.68–1.52 | 0.94 | 0.87 | 0.58–1.33 | 0.52 | |||
Hypertension | 1.07 | 0.83–1.39 | 0.58 | 1.16 | 0.90–1.51 | 0.25 | |||
Diabetes mellitus | 1.21 | 0.77–1.90 | 0.41 | 1.22 | 0.77–1.93 | 0.40 | |||
Heart disease | 1.52 | 1.09–2.12 | 0.01 | 1.57 | 1.12–2.20 | 0.009 | |||
Aggression | 1.26 | 0.95–1.69 | 0.11 | ||||||
Agitation | 1.35 | 1.01–1.79 | 0.04 | ||||||
Depression | 1.06 | 0.75–1.49 | 0.75 | ||||||
Psychosis | 1.56 | 1.19–2.04 | 0.001 | ||||||
Dementia medication | 0.38 | 0.28–0.52 | <0.0001 |
Model 1 controlled for age, education level, gender, and baseline Mini-Mental State Examination (MMSE) score. Model 2 included items from model 1 plus extrapyramidal signs, incident stroke, heart disease, diabetes mellitus, and hypertension. Model 3 included items from models 1 and 2 plus psychosis, depression, aggression, agitation, and dementia medication.