Table 3.
Association of polypharmacy with adverse outcomes at 3 months
Prevalence N event/group (%) |
Crude odds ratio (95% CI) | Adjusted odds ratio† (95% CI) | Adjusted odds ratio* (95% CI) | Adjusted odds ratio◊ (95% CI) | |
---|---|---|---|---|---|
Mortality 3 months | |||||
Total population | 76/832 (9) | ||||
Non-polypharmacy | 14/323 (4) | Reference | Reference | Reference | |
Polypharmacy | 39/360 (11) | 2.68 (1.43–5.04) | 2.62 (1.39–4.93) | 2.10 (1.10–4.00) | 1.80 (0.92–3.52) |
Excessive polypharmacy | 23/149 (15) | 4.03 (2.01–8.08) | 3.92 (1.95–7.90) | 2.40 (1.15–5.02) | 2.32 (1.10–4.90) |
Additional odds per 1 medication | 1.14 (1.08–1.20) | 1.14 (1.08–1.20) | 1.10 (1.04–1.16) | 1.10 (1.03–1.17) | |
Readmission 3 months | |||||
Total population | 249/833 (30) | ||||
Non-polypharmacy | 83/335 (25) | Reference | Reference | Reference | |
Polypharmacy | 121/367 (33) | 1.46 (1.05–2.04) | 1.46 (1.04–2.04) | 1.32 (0.94–1.86) | 1.25 (0.87–1.90) |
Excessive polypharmacy | 47/148 (32) | 1.37 (0.89–2.10) | 1.30 (0.84–1.20) | 1.04 (0.66–1.64) | 0.97 (0.60–1.56) |
Additional odds per 1 medication | 1.05 (1.02–1.09) | 1.05 (1.01–1.09) | 1.03 (0.99–1.07) | 1.02 (0.98–1.07) | |
Fall 3 months | |||||
Total population | 141/683 (21) | ||||
Non-polypharmacy | 45/285 (16) | Reference | Reference | Reference | Reference |
Polypharmacy | 68/300 (23) | 1.59 (1.04–2.41) | 1.45 (0.97–2.27) | 1.30 (0.84–2.00) | 1.28 (0.82–2.01) |
Excessive polypharmacy | 28/111 (25) | 1.76 (1.03–3.01) | 1.71 (0.99–2.93) | 1.28 (0.73–2.26) | 1.31 (0.74–2.35) |
Additional odds per 1 medication | 1.05 (1.00–1.10) | 1.05 (1.00–1.10) | 1.03 (0.97–1.08) | 1.02 (0.97–1.08) |
† Adjusted for age, gender, * adjusted for age, gender, ISAR-HP score, ◊ adjusted for age, gender, CCI