Table 4.
Effects of BZD and Z-drug properties, half-life, and polypharmacy on the elderly patients hospitalised for fall injuries
| Cases | Controls | Unadjusted | Adjustedab | |||||
|---|---|---|---|---|---|---|---|---|
| n = 2238 | % | n = 8645 | % | OR | 95% CI | OR | 95% CI | |
| Elimination half-life of BZD | ||||||||
| Only long-acting BZD | 160 | 7.2 | 502 | 5.8 | 1.35 | 1.12–1.62 | 1.41 | 1.16–1.71 |
| Only short-acting BZD | 213 | 9.5 | 692 | 8.0 | 1.29 | 1.10–1.52 | 1.42 | 1.20–1.69 |
| Long- + short- acting BZD | 299 | 13.4 | 950 | 11.0 | 1.33 | 1.15–1.53 | 1.61 | 1.37–1.89 |
| Non-users | 1566 | 70.0 | 6501 | 75.2 | 1 | 1 | ||
| Polypharmacy of BZD and Z-drugs | ||||||||
| Only one kind of BZD | 238 | 10.6 | 781 | 9.0 | 1.30 | 1.11–1.52 | 1.40 | 1.19–1.65 |
| Two or more kinds of BZD | 309 | 13.8 | 979 | 11.3 | 1.35 | 1.17–1.55 | 1.61 | 1.38–1.89 |
| Only Z-drugs | 99 | 4.4 | 337 | 3.9 | 1.26 | 1.00–1.59 | 1.33 | 1.04–1.69 |
| One kind of BZD + Z-drugs | 34 | 1.5 | 89 | 1.0 | 1.61 | 1.08–2.40 | 1.65 | 1.08–2.50 |
| Two or more kinds of BZD + Z-drugs | 91 | 4.1 | 295 | 3.4 | 1.33 | 1.04–1.70 | 1.58 | 1.21–2.07 |
| Non-users | 1467 | 65.6 | 6164 | 71.3 | 1 | 1 | ||
aAdjusted for dementia, Parkinson’s disease, cerebrovascular disease, diabetes, hypertension, ischemia heart disease, antipsychotics, antidepressants, anticonvulsants, thiazide diuretics, opioids, Charlson comorbidity index, and number of outpatient services in the 180 days before the index date
bSignificant results (p<0.05) are in italicize