Table 2.
CNS-Active Medication Use and Risk of Fall-Related Injury
CNS Medication Use | Primary Analysis | Sensitivity Analysis†,‡ | |||||
---|---|---|---|---|---|---|---|
Person-Years | Fall-Related Injury | Fall-Related Injury Rate (per 100 person-years) | Adjusted Model* ,† | ||||
HR | 95% CI | HR | 95% CI | ||||
None | 10,986 | 386 | 3.5 | 1.00 | Reference | 1.00 | Reference |
Past | 2,162 | 88 | 4.1 | 1.15 | (0.91–1.45) | 1.19 | (0.87–1.64) |
Recent | 754 | 29 | 3.8 | 1.07 | (0.73–1.57) | 1.08 | (0.65–1.81) |
Current use | 1,629 | 121 | 7.4 | 1.95 | (1.57–2.42) | 1.86 | (1.38–2.50) |
According to SDD | |||||||
<1 | 476 | 33 | 6.9 | 1.73 | (1.20–2.48) | 1.17 | (0.66–2.07) |
1–<2 | 531 | 52 | 9.8 | 2.60 | (1.93–3.51) | 2.72 | (1.83–4.04) |
≥2 | 622 | 36 | 5.8 | 1.56 | (1.10–2.22) | 1.72 | (1.10–2.67) |
Note: SDD = standardized daily dose; HR = hazard ratio; CI = confidence interval.
*Results for primary outcome of fall-related injury resulting in ED or outpatient visit or hospitalization.
†Adjusted for age, sex, ACT study cohort, and time varying measures of body mass index, self-rated health, hypertension, diabetes, stroke, urinary incontinence, osteoarthritis, coronary artery disease, congestive heart failure, Parkinson’s disease, gait speed, depressive symptoms, impaired cognition, and poor vision.
‡Adjusted HR for the outcome of fall-related injury resulting in ED visit or hospitalization.