Table 4.
Risk of Death Within 180 Days After Start of Psychotropic Medication
N | Unadjusted | Adjusted(a) | |||
---|---|---|---|---|---|
Risk Difference(b)(c) (/100 patients) | 95% CI | Risk Difference(b)(d) (/100 patients) | 95% CI | ||
Antidepressants versus Atypical APMs (=referent) | |||||
Actual treatment status | 25,129 | 1.60 | 0.56, 2.65 | −0.82 | −2.07, 0.42 |
IV status | |||||
IV1: Median groups (lowest vs. highest quantile) | 25,129 | −0.46 | −4.00, 3.07 | −3.70 | −9.52, 2.11 |
IV2: Tertile groups (lowest vs. highest quantile) | 19,333 | 0.20 | −3.21, 3.61 | −2.08 | −7.29, 3.13 |
IV3: Quartile groups (lowest vs. highest quantile) | 15,926 | 1.27 | −2.33, 4.87 | −0.09 | −5.07, 4.89 |
Antidepressants versus Hypnotics (=referent) | |||||
Actual treatment status | 32,901 | −5.72 | −6.66, −4.77 | −3.69 | −4.68, −2.70 |
IV status | |||||
IV1: Median groups (lowest vs. highest quantile) | 32,901 | −3.47 | −7.64, 0.70 | −2.81 | −7.21, 1.60 |
IV2: Tertile groups (lowest vs. highest quantile) | 24,228 | −2.73 | −6.60, 1.15 | −2.18 | −6.23, 1.86 |
IV3: Quartile groups (lowest vs. highest quantile) | 19,533 | −3.77 | −7.64, 0.09 | −3.36 | −7.40, 0.68 |
Atypical APMS versus Hypnotics (=referent) | |||||
Actual treatment status | 27,810 | −7.07 | −8.09, −6.04 | −2.69 | −3.90, −1.47 |
IV status | |||||
IV1: Median groups (lowest vs. highest quantile) | 27,810 | −6.05 | −9.67, −2.43 | −3.57 | −9.25, 2.11 |
IV2: Tertile groups (lowest vs. highest quantile) | 21,125 | −5.39 | −8.88, −1.91 | −2.48 | −7.49, 2.52 |
IV3: Quartile groups (lowest vs. highest quantile) | 17,217 | −5.22 | −8.94, −1.49 | −2.44 | −7.35, 2.46 |
Adjusted for propensity score including all resident and facility characteristics
Exposure model based on (multivariable) linear regression model; IV models based on 2-stage least squares regression model
2-stage model: Y = β0 + δÊ[X|Z] + ε, with Y = outcome, Ê[X|Z] = predicted values from first stage
2-stage model: Y = β0 + δÊ[X|Z, PS] + β1PS + ε, with Y = outcome, Ê[X|Z] = predicted values from first stage, PS = propensity score