Table 2. Incidence rates and hazard ratios of ischemic stroke after the initiation of conventional and atypical antipsychotic medications.
Hazard ratio (95% CI) | ||||||||
---|---|---|---|---|---|---|---|---|
User Status | Mean days of follow-up (SD) | Person-Years | No. of Events | Incidence Rate per 1000 Person-Years* | Unadjusted | Propensity-score adjusted | SMR weighed | SMR weighted and Multivariable adjusted† |
Class | ||||||||
Atypical antipsychotics(n = 444,16) | 150.9(172.6) | 18,350.7 | 62 | 3.42 | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] |
Conventional antipsychotics(n = 27.168) | 130.3 (153.6) | 9,690.4 | 64 | 6.61 | 2.18(1.84–2.59) | 2.71(2.01–3.52) | 2.69 (2.08–3.47) | 2.53 (1.95–3.27) |
Generic name | ||||||||
Risperidone (n = 24,668) | 152.7(167.2) | 10,309.4 | 31 | 3.02 | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] |
Quetiapine (n = 15,860) | 143.9 (172.6) | 6,246.2 | 26 | 4.23 | 1.33 (0.81–2.25) | 1.35 (0.80–2.27) | 1.23 (0.78–2.12) | 1.01 (0.61–2.09) |
Olanzapine (n = 3,888) | 168.6 (202.3) | 1,795.1 | 5 | 2.87 | 1.31 (0.47–3.24) | 1.25 (0.53–2.95) | 1.12 (0.59–2.75) | 1.08 (0.47–2.59) |
Haloperidol (n = 19,564) | 131.9(151.6) | 7,066.1 | 43 | 6.12 | 2.61(1.35–3.37) | 2.64 (1.27–3.26) | 2.43 (1.18–3.14) | 2.09 (1.09–3.12) |
Chlorpromazine (n = 7,604) | 126.3 (158.3) | 2,628.3 | 21 | 8.01 | 3.32 (2.02–6.12) | 3.50 (2.17–5.65) | 3.47(1.97–5.38) | 3.10(1.48–5.11) |
(SMR, standardized morbidity ratio)
* (No. of events/total No. of days per 365 days)× 1,000.
† Adjusted for age, gender, presence or absence of dementia (F00-F03, G30, G31.8), depression (F32–33, F34.1, F41.2), dyslipidemia (E78.0), coronary heart disease (I21-I25), COPD (J40-J44, J47), and the use of antidepressants, benzodiazepine, anticoagulants, or antithrombotic agents during the follow-up period.
SMR weighted and multivariable adjusted HR after exclusion of the patients whose propensity score was > 99.99 in quetiapine, < 0.05 in olanzapine, > 0.90 in haloperidol, and < 0.05 in chlorpromazine.