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. 2020 Jun 7;10(6):e034829. doi: 10.1136/bmjopen-2019-034829

Table 3.

Number of events, crude event rates (per 1000), crude IRRs and adjusted HRs for the four outcomes and each of the AEDs studied—study population limited to women considered to be treated for epilepsy

Events Crude event rates IRR HR* (95% CI) HR† (95% CI)
Neurodevelopmental disorders
 Lamotrigine 32 4.2
 Carbamazepine‡ 1 1.5 0.4 (0.0 to 2.7) 0.2 (0.0 to 2.7) 0.2 (0.0 to 2.7)
 Levetiracetam 8 3.7 0.9 (0.4 to 1.9) 0.8 (0.4 to 1.8) 0.8 (0.4 to 1.8)
Valproic acid 50 13.5 3.2 (2.0 to 5.0) 3.2 (2.0 to 4.9) 3.5 (2.3 to 5.4)
Pervasive developmental disorders
 Lamotrigine 7 0.9
 Carbamazepine‡ 0 0.0 N/A N/A N/A
 Levetiracetam 4 1.8 2.0 (0.6 to 6.8) 1.8 (0.5 to 6.6) 1.8 (0.5 to 6.6)
Valproic acid 17 4.5 4.9 (2.0 to 11.8) 4.9 (2.0 to 11.8) 4.7 (1.9 to 11.4)
Mental retardation
 Lamotrigine 10 1.3
 Carbamazepine‡ 0 0.0 N/A N/A N/A
 Levetiracetam 1 0.5 0.3 (0.0 to 2.7) 0.4 (0.1 to 2.9) 0.4 (0.1 to 2.9)
Valproic acid 15 4.0 3.0 (1.4 to 6.7) 3.1 (1.4 to 7.0) 4.0 (1.9 to 8.6)
Visits to a speech therapist
 Lamotrigine 122 16.2
Carbamazepine‡ 4 6.1 0.4 (0.1 to 1.0) 0.2 (0.1 to 0.7) 0.2 (0.1 to 0.7)
 Levetiracetam 22 10.2 0.6 (0.4 to 1.0) 0.7 (0.4 to 1.1) 0.7 (0.4 to 1.1)
Valproic acid 93 25.1 1.6 (1.2 to 2.0) 1.4 (1.1 to 1.8) 1.5 (1.1 to 1.9)

Lines marked in bold correspond to HRs for which the 95% CI does not include 1.

*Adjusted for all covariates except hospitalisation for epilepsy during pregnancy.

†Adjusted for all covariates including hospitalisation for epilepsy during pregnancy.

‡No possible adjustment for the proxy for alcohol.

AED, antiepileptic drug; CI, confidence interval; HR, hazard ratio; IRR, incidence rate ratio; N/A, not applicable.