Table 3:
Selective serotonin reuptake inhibitor use among community-dwelling Medicare beneficiaries aged ≥65 by fall status – Medicare Current Beneficiary Surveys, 2010 −2017.
| Fall outcome | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| Did not report fall | Reported 1 or more falls | Reported 2 or more falls | |||||||
| Medication exposure | na | Weighted %b | 95% CIc | na | Weighted %b | 95% CIc | na | Weighted %b | 95% CIc |
| Citalopram/escitalopram | |||||||||
| Overall | 277 | 63.7 | 60.3–67.0 | 170 | 36.3 | 33.0–39.7 | 102 | 21.4 | 19.1–23.9 |
| Low TSDDd | 129 | 66.6 | 61.3–71.5 | 68 | 33.4 | 28.5–38.7 | 42 | 20.4 | 16.6–24.9 |
| Medium TSDDd | 72 | 58.6 | 50.7–66.0 | 53 | 41.4 | 34.0–49.3 | 28 | 20.6 | 15.9–26.4 |
| High TSDDd | 76 | 64.6 | 58.2–70.5 | 49 | 35.4 | 29.5–41.8 | 32 | 23.7 | 18.6–29.8 |
| Sertraline | |||||||||
| Overall | 172 | 60.6 | 55.7–65.4 | 112 | 39.4 | 34.6–44.3 | 66 | 22.3 | 18.7–26.3 |
| Low TSDDd | 75 | 66.3 | 59.4–72.6 | 47 | 33.7 | 27.4–40.7 | 33 | 23.3 | 18.4–29.0 |
| Medium TSDDd | 35 | 51.5 | 40.5–62.4 | 26 | 48.5 | 37.6–59.5 | * | * | * |
| High TSDDd | 62 | 59.7 | 51.6–67.3 | 39 | 40.3 | 32.7–48.4 | 20 | 20.2 | 14.1–28.0 |
Data not available due to small sample size
n = unweighted number
% = weighted percent to the US Medicare population of characteristic
CI = 95% confidence interval
TSDD = Average monthly total standardized daily dose categorized into low (60 or less), medium (60.1–90), and high (more than 90). For citalopram: Low TSDD is equivalent to ≤20 mg daily for 30 days; Medium TSDD is equivalent to >20 mg to 30 mg daily for 30 days; High TSDD is equivalent to >30 mg daily for 30 days. For escitalopram: Low TSDD is equivalent to ≤10 mg daily for 30 days; Medium TSDD is equivalent to >10 mg to 15 mg daily for 30 days; High TSDD is equivalent to >15 mg daily for 30 days. For Sertraline: Low TSDD is equivalent to ≤50 mg daily for 30 days; Medium TSDD is equivalent to >50 mg to 75 mg daily for 30 days; High TSDD is equivalent to >75 mg daily for 30 days.