Table 3.
No Antipsychotic Exposure | Low Antipsychotic Exposure | Moderate Antipsychotic Exposure | High Antipsychotic Exposure | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
n | % | HR | 95% CI | n | % | HR | 95% CI | n | % | HR | n | % | HR | 95% CI | |
ALLa | 199 | 10 | 1.56 | 1.32–1.84 | 261 | 6 | 0.97 | 0.83–1.12 | 532 | 6 | 1 | 599 | 9 | 1.43 | 1.27–1.60 |
(1.52 | 1.29–1.79) | (0.96 | 0.83–1.12) | (1.45 | 1.29–1.63) | ||||||||||
Sexb | |||||||||||||||
Men | 140 | 10 | 1.46 | 1.20–1.78 | 167 | 7 | 1.01 | 0.82–1.19 | 433 | 7 | 1 | 382 | 9 | 1.28 | 1.11–1.48 |
(1.52 | 1.25–1.85) | (1.04 | 0.87–1.25) | (1.29 | 1.12–1.50) | ||||||||||
Women | 59 | 8 | 1.64 | 1.22–2.20 | 94 | 5 | 0.93 | 0.72–1.19 | 188 | 5 | 1 | 217 | 9 | 1.83 | 1.51–2.23 |
(1.61 | 1.20–2.16) | (0.97 | 0.76–1.24) | (1.63 | 1.34–1.98) | ||||||||||
Previous treatment contactb | |||||||||||||||
Outpatient treatment only | 23 | 7 | 1.44 | 0.91–2.27 | 46 | 5 | 0.90 | 0.63–1.29 | 91 | 5 | 1 | 72 | 8 | 1.50 | 1.10–2.05 |
(1.24 | 0.78–1.95) | (0.93 | 0.65–1.32) | (1.51 | 1.11–2.05) | ||||||||||
Earlier inpatient treatment | 95 | 10 | 1.69 | 1.35–2.14 | 128 | 6 | 0.90 | 0.73–1.11 | 299 | 7 | 1 | 334 | 9 | 1.41 | 1.21–1.65 |
(1.58 | 1.25–1.99) | (0.95 | 0.77–1.17) | (1.37 | 1.17–1.60) | ||||||||||
Inpatient treatment within 1 year | 34 | 19 | 3.46 | 2.34–5.12 | 37 | 6 | 0.94 | 0.65–1.38 | 95 | 6 | 1 | 150 | 8 | 1.36 | 1.05–1.76 |
(3.62 | 2.45–5.35) | (0.96 | 0.66–1.40) | (1.34 | 1.04–1.74) | ||||||||||
Identified only through disability pension due to schizophrenia | 47 | 8 | 1.06 | 0.71–1.59 | 50 | 10 | 1.32 | 0.88–1.96 | 47 | 7 | 1 | 43 | 14 | 2.19 | 1.45–3.31 |
(1.13 | 0.75–1.69) | (1.40 | 0.94–2.08) | (2.03 | 1.34–3.08) |
Note: The identified schizophrenia patients were categorized into 4 DDD groups: (1) no antipsychotics during the follow-up, (2) small doses of antipsychotics or occasional use (0 DDD/day–0.5 DDD/day, noninclusive), (3) moderate doses of antipsychotics (0.5 DDD/day–1.5 DDD/day, inclusive), and (4) high antipsychotic doses (>1.5 DDD/day). Overall mortality (the uppermost row “ALL”) was significantly lower for moderate use when compared with no antipsychotic use (P < .001) or with high exposure (P < .001). The number of hospital days during follow-up was 20.8 for no antipsychotic exposure, 19.7 for low antipsychotic exposure, 16.5 for moderate antipsychotic exposure, and 26.6 for high antipsychotic exposure. DDD, defined daily dose; HR, hazard ratio.
aHRs are adjusted for age, gender, and treatment history (number of hospital days, number of outpatient contacts) and HRs adjusted for age and gender are shown in parentheses.
bHRs are adjusted for age and unadjusted HRs are shown in parentheses.
Results indicated with bold differ from the results for moderate antipsychotic exposure (P < .05).