Table 1.
Cardiovascular | ||||
---|---|---|---|---|
HR | CI (95%) | P | ||
Antipsychotic medication | ||||
Cumulative exposure | ||||
0 DDDs | Reference | |||
0 > DDDs ≥ 90 | 1.95 | 1.83 | 2.09 | < 0.001 |
90 > DDDs ≥ 365 | 1.68 | 1.53 | 1.84 | < 0.001 |
365 > DDDs ≥ 730 | 1.24 | 1.04 | 1.48 | < 0.05 |
730 > DDDs | 0.89 | 0.67 | 1.18 | 0.429 |
Explanatory variables | ||||
Demographic factors | ||||
Female | 0.69 | 0.65 | 0.73 | < 0.001 |
Age at diagnosis | 0.80 | 0.79 | 0.81 | < 0.001 |
Other medication | ||||
Cardiac risk factors | 2.47 | 2.29 | 2.68 | < 0.001 |
Proxy markers of severity | ||||
Psychiatric bed days = 0 | Reference | |||
Psychiatric bed days 1–9 | 1.01 | 0.91 | 1.13 | 0.836 |
Psychiatric bed days ≥ 10 | 1.06 | 0.70 | 1.60 | 0.783 |
Psychiatric outpatient contacts = 0 | Reference | |||
Psychiatric outpatient contacts: 1–5 | 1.35 | 1.27 | 1.43 | < 0.001 |
Psychiatric outpatient contacts: 6–10 | 1.20 | 1.10 | 1.30 | < 0.001 |
Psychiatric outpatient contacts > 10 | 0.88 | 0.80 | 0.97 | < 0.01 |
Living in an institution | 1.14 | 1.04 | 1.24 | < 0.01 |
Co-morbidity | ||||
Psychiatric co-morbid score | 1.32 | 1.27 | 1.37 | < 0.001 |
Somatic co-morbid score | 1.26 | 1.23 | 1.29 | < 0.001 |
Cancer | ||||
---|---|---|---|---|
HR | CI (95%) | P | ||
Antipsychotic medication | ||||
Cumulative exposure | ||||
0 DDDs | Reference | |||
0 > DDDs ≥ 90 | 1.85 | 1.65 | 2.08 | < 0.001 |
90 > DDDs ≥ 365 | 1.19 | 1.00 | 1.43 | 0.057 |
365 > DDDs ≥ 730 | 0.97 | 0.69 | 1.37 | 0.878 |
730 > DDDs | 0.46 | 0.25 | 0.85 | 0.013 |
Explanatory variables | ||||
Demographic factors | ||||
Female | 0.69 | 0.63 | 0.76 | < 0.001 |
Age at diagnosis | 0.79 | 0.78 | 0.81 | < 0.001 |
Other medication | ||||
Cardiac risk factors | 0.53 | 0.48 | 0.59 | < 0.001 |
Proxy markers of severity | ||||
Psychiatric bed days = 0 | Reference | |||
Psychiatric bed days 1–9 | 0.92 | 0.75 | 1.12 | 0.401 |
Psychiatric bed days ≥ 10 | 0.68 | 0.28 | 1.64 | 0.393 |
Psychiatric outpatient contacts = 0 | Reference | |||
Psychiatric outpatient contacts: 1–5 | 1.42 | 1.28 | 1.58 | < 0.001 |
Psychiatric outpatient contacts: 6–10 | 1.21 | 1.06 | 1.39 | < 0.01 |
Psychiatric outpatient contacts > 10 | 0.63 | 0.52 | 0.76 | < 0.001 |
Living in an institution | 0.94 | 0.79 | 1.11 | 0.454 |
Co-morbidity | ||||
Psychiatric co-morbid score | 1.34 | 1.26 | 1.42 | < 0.001 |
Somatic co-morbid score | 1.84 | 1.79 | 1.90 | < 0.001 |
Infection | ||||
---|---|---|---|---|
HR | CI (95%) | P | ||
Antipsychotic medication | ||||
Cumulative exposure | ||||
0 DDDs | Reference | |||
0 > DDDs ≥ 90 | 2.37 | 2.09 | 2.68 | < 0.001 |
90 > DDDs ≥ 365 | 2.05 | 1.73 | 2.44 | < 0.001 |
365 > DDDs ≥ 730 | 1.77 | 1.31 | 2.38 | < 0.001 |
730 > DDDs | 1.02 | 0.62 | 1.67 | 0.946 |
Explanatory variables | ||||
Demographic factors | ||||
Female | 0.54 | 0.49 | 0.60 | < 0.001 |
Age at diagnosis | 0.78 | 0.77 | 0.80 | < 0.001 |
Other medication | ||||
Cardiac risk factors | 0.80 | 0.70 | 0.91 | 0.001 |
Proxy markers of severity | ||||
Psychiatric bed days = 0 | Reference | |||
Psychiatric bed days 1–9 | 1.12 | 0.93 | 1.36 | 0.233 |
Psychiatric bed days ≥ 10 | 1.38 | 0.74 | 2.59 | 0.314 |
Psychiatric outpatient contacts = 0 | Reference | |||
Psychiatric outpatient contacts: 1–5 | 1.17 | 1.03 | 1.32 | 0.013 |
Psychiatric outpatient contacts: 6–10 | 1.07 | 0.92 | 1.25 | 0.382 |
Psychiatric outpatient contacts > 10 | 0.72 | 0.60 | 0.86 | < 0.001 |
Living in an institution | 1.17 | 1.00 | 1.38 | 0.053 |
Co-morbidity | ||||
Psychiatric co-morbid score | 1.32 | 1.23 | 1.42 | < 0.001 |
Somatic co-morbid score | 1.54 | 1.48 | 1.60 | < 0.001 |
Intentional self-harm | ||||
---|---|---|---|---|
HR | CI (95%) | P | ||
Antipsychotic medication | ||||
Cumulative exposure | ||||
0 DDDs | Reference | |||
0 > DDDs ≥ 90 | 0.76 | 0.24 | 2.41 | 0.640 |
90 > DDDs ≥ 365 | 0.24 | 0.03 | 2.02 | 0.189 |
365 > DDDs ≥ 730 | 0.00 | 0.00 | 1.000 | |
730 > DDDs | 0.87 | 0.09 | 8.57 | 0.902 |
Explanatory variables | ||||
Demographic factors | ||||
Female | 0.49 | 0.23 | 1.04 | 0.063 |
Age at diagnosis | 0.82 | 0.74 | 0.91 | < 0.001 |
Other medication | ||||
Cardiac risk factors | 1.92 | 0.71 | 5.18 | 0.199 |
Proxy markers of severity | ||||
Psychiatric bed days = 0 | Reference | |||
Psychiatric bed days 1–9 | 2.70 | 0.79 | 9.23 | 0.113 |
Psychiatric bed days ≥ 10 | 10.48 | 1.12 | 98.42 | < 0.05 |
Psychiatric outpatient contacts = 0 | Reference | |||
Psychiatric outpatient contacts: 1–5 | 1.51 | 0.58 | 3.90 | 0.400 |
Psychiatric outpatient contacts: 6–10 | 1.70 | 0.54 | 5.35 | 0.368 |
Psychiatric outpatient contacts > 10 | 0.53 | 0.10 | 2.96 | 0.471 |
Living in an institution | 1.09 | 0.25 | 4.82 | 0.909 |
Co-morbidity | ||||
Psychiatric co-morbid score | 2.94 | 2.02 | 4.27 | < 0.001 |
Somatic co-morbid score | 0.91 | 0.66 | 1.25 | 0.552 |
HR: hazard ratio; CI: confidence interval; DDD: daily defined dosage.