Table 5.
Association of combination opioid/acetaminophen preparations, pure opioids, other acetaminophen medications with acute coronary heart disease, cardiovascular death, stroke
All participants
|
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---|---|---|---|---|---|---|
Acute CHD |
Stroke |
Cardiovascular death |
||||
Events n/users, n | aHR (95%CI) | Events n/users, n | aHR (95%CI) | Events n/users, n | aHR (95%CI) | |
Opioid + Acetaminophen preparation users | 53/872 | 1.14 (0.86–1.52) | 35/872 | 1.40 (0.98–1.99) | 56/872 | 1.41 (1.07–1.86) |
Opioid alone preparation users | 54/1035 | 0.89 (0.67–1.17) | 22/1034 | 0.76 (0.50–1.18) | 51/1035 | 1.04 (0.78–1.39) |
Other Acetaminophen users | 116/2462 | 0.96 (0.79–1.17) | 71/2460 | 1.06 (0.82–1.35) | 85/2462 | 0.81 (0.64–1.01) |
Nonusers of both | REF | – | – | |||
Females | Females | Females | ||||
Opioid + Acetaminophen preparation users | 39/587 | 1.72 (1.22–2.44) | 22/587 | 1.33 (0.85–2.09) | 45/587 | 2.12 (1.52–2.94) |
Opioid alone preparation users | 28/640 | 1.12 (0.75–1.65) | 11/640 | 0.63 (0.34–1.16) | 28/640 | 1.22 (0.82–1.81) |
Other Acetaminophen users | 64/1656 | 1.22 (0.93–1.59) | 42/1665 | 1.06 (0.76–1.47) | 47/1656 | 0.93 (0.68–1.21) |
Nonusers of both | REF | – | – | |||
Males | Males | Males | ||||
Opioid + Acetaminophen preparation users | 14/285 | 0.61 (0.36–1.04) | 13/285 | 1.42 (0.81–2.51) | 11/285 | 0.61 (0.33–1.11) |
Opioid alone preparation users | 26/395 | 0.73 (0.49–1.09) | 11/394 | 0.92 (0.50–1.70) | 23/395 | 0.89 (0.57–1.34) |
Other Acetaminophen users | 52/806 | 0.79 (0.59–1.05) | 29/805 | 1.04 (0.71–1.52) | 38/806 | 0.72 (0.52–1.01) |
Nonusers of both | REF | – | – |
Abbreviations: aHR = fully adjusted hazards ratio; CI = confidence interval; CHD = coronary heart disease; REF = referent group.
Bold P < 0.0.5