TABLE 4.
Risk of neuropsychiatric events (NPEs) in relation to leukotriene receptor antagonist (LTRA) use in patients with asthma or allergic rhinitis according to type of NPE: psychotic, mood, anxiety and sleep-related disorders
| Psychotic disorder | Mood disorder | Anxiety disorder | Sleep-related disorder | |||||||||||||
| Events (n) | Person-years | IRR (95% CI) | p-value | Events (n) | Person-years | IRR (95% CI) | p-value | Events (n) | Person-years | IRR (95% CI) | p-value | Events (n) | Person-years | IRR (95% CI) | p-value | |
| Unexposed | 466 | 968.7 | 1 | 5298 | 11 120.18 | 1 | 13 108 | 29 123.82 | 1 | 8973 | 19 983.28 | 1 | ||||
| Exposed | 18 | 42.33 | 1.19 (0.69–1.91) | 0.506 | 172 | 375.86 | 1.16 (0.98–1.36) | 0.072 | 307 | 786.61 | 1.01 (0.89–1.13) | 0.911 | 219 | 603.5 | 0.92 (0.80–1.06) | 0.259 |
| Time since initiation of LTRA (days) | ||||||||||||||||
| 1–3 | 2 | 9.09 | 0.56 (0.14–2.25) | 0.413 | 30 | 96.68 | 0.75 (0.51–1.06) | 0.121 | 53 | 248.15 | 0.54 (0.41–0.70) | <0.001 | 62 | 179.41 | 0.87 (0.67–1.11) | 0.289 |
| 4–7 | 2 | 5.74 | 0.91 (0.23–3.70) | 0.901 | 43 | 53.57 | 1.96 (1.42–2.62) | <0.001 | 107 | 123.67 | 2.20 (1.81–2.66) | <0.001 | 62 | 95.91 | 1.64 (1.26–2.09) | <0.001 |
| 8–14 | 6 | 6.44 | 2.56 (1.12–5.84) | 0.025 | 39 | 56.03 | 2.16 (1.6–2.84) | <0.001 | 68 | 115.42 | 1.51 (1.17–1.90) | <0.001 | 44 | 94.48 | 1.18 (0.86–1.57) | 0.281 |
| 15–30 | 2 | 7.98 | 0.69 (0.17–2.81) | 0.607 | 26 | 67.12 | 0.97 (0.64–1.41) | 0.882 | 40 | 127.52 | 0.80 (0.57–1.08) | 0.159 | 20 | 103.15 | 0.49 (0.3–0.74) | 0.001 |
| 31–90 | 5 | 8.54 | 1.78 (0.70–4.48) | 0.224 | 18 | 67.95 | 0.68 (0.41–1.05) | 0.106 | 25 | 114.21 | 0.56 (0.37–0.82) | 0.004 | 21 | 93.66 | 0.56 (0.35–0.84) | 0.009 |
| >90 | 1 | 4.54 | 0.78 (0.10–6.03) | 0.808 | 6 | 34.51 | 0.47 (0.18–1.00) | 0.079 | 14 | 57.63 | 0.67 (0.37–1.13) | 0.164 | 10 | 36.89 | 0.64 (0.31–1.17) | 0.181 |
IRR: incidence rate ratio.