Table 4.
Dose-Response Relationship in the Association Between Stimulant Treatment and an Adverse Cardiovascular Event in Children with ADHD
| Adjusted hazard ratioa | 95% confidence interval | ||
|---|---|---|---|
| Stimulant dosage at the time of the adverse cardiovascular event (n=8300) | |||
| Non-user (reference) | 1 | ||
| Dosage <15 mg methylphenidate | 2.31 | 1.18 | 4.53 |
| Dosage 15–30 mg methylphenidate | 1.28 | 0.65 | 2.53 |
| Dosage >30 mg methylphenidate | 1.08 | 0.54 | 2.14 |
| Stimulant dosage 3 months before the adverse cardiovascular event (n=8298) | |||
| Non-user (reference) | 1 | ||
| Dosage <15 mg methylphenidate | 2.04 | 1.01 | 4.12 |
| Dosage 15–30 mg methylphenidate | 1.42 | 0.74 | 2.73 |
| Dosage >30 mg methylphenidate | 0.82 | 0.37 | 1.81 |
| Stimulant dosage 12 months before the adverse cardiovascular event (n=8295) | |||
| Non-user (reference) | 1 | ||
| Dosage <15 mg methylphenidate | 1.43 | 0.57 | 3.59 |
| Dosage 15–30 mg methylphenidate | 1.67 | 0.84 | 3.32 |
| Dosage >30 mg methylphenidate | 2.24 | 1.20 | 4.21 |
Bold indicates a significantly increased hazard ratio compared to the reference group.
Hazard ratios were adjusted for all covariates mentioned in Table 3.
ADHD, attention-deficit/hyperactivity disorder.