Table 4. Case Fatality and Adjusted Odds Ratios of COVID-19 Mortality by Psychotropic Medication Exposures.
Psychotropic medication | Patients with COVID, No. (n = 969) | COVID-19–related deaths, No. (%) (n = 38 [3.9%]) | Odds ratio (95% CI) | ||
---|---|---|---|---|---|
Medications only | Adjusted for age and sex | Fully adjusteda | |||
First-generation antipsychotic | |||||
Chlorpromazineb | 47 | 0 | NA | NA | NA |
Second-generation antipsychotic | |||||
Olanzapine | 398 | 14 (3.5) | 0.54 (0.26-1.09) | 0.61 (0.30-1.27) | 0.61 (0.29-1.29) |
Clozapine | 341 | 6 (1.8) | 0.25 (0.10-0.62)c | 0.40 (0.16-1.03) | 0.43 (0.17-1.12) |
Risperidone | 157 | 3 (1.9) | 0.32 (0.10-1.07) | 0.35 (0.10-1.20) | 0.42 (0.12-1.45) |
Paliperidone | 67 | 2 (3.0) | 0.62 (0.14-2.71) | 0.51 (0.11-2.32) | 0.54 (0.12-2.49) |
Mood stabilizers | |||||
Valproic acid | 363 | 16 (4.4) | 1.33 (0.68-2.59) | 1.58 (0.78-3.16) | 1.48 (0.72-3.03) |
Antidepressants | |||||
Sertraline | 62 | 1 (1.6) | 0.36 (0.05-2.67) | 0.46 (0.06-3.52) | 0.53 (0.07-4.08) |
Citalopram | 70 | 1 (1.4) | 0.36 (0.05-2.67) | 0.38 (0.05-2.94) | 0.46 (0.06-3.57) |
Escitalopramb | 47 | 0 | NA | NA | NA |
Abbreviation: NA, not applicable.
The fully adjusted odds ratios controlled for age, sex, diabetes, hypertension, heart disease, and other medications in the model.
Could not be retained for statistical modeling owing to 0 deaths.
P < .01, where α′ = .05/4 = .0125 to correct for multiple comparisons.