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Table 2 Association of risk factors with hazard of ventricular arrhythmias in patients who received allopurinol with no baseline ventricular arrhythmias before the index date of allopurinol episode

From: Allopurinol and the risk of ventricular arrhythmias in the elderly: a study using US Medicare data

 

Univariate

Multivariable adjusted (Model 1)

Multivariable adjusted (Model 2)

HR (95% CI)

P value

HR (95% CI)

P value

HR (95% CI)

P value

Age (in years)

 65 to < 75

Ref

 

Ref

 

Ref

 

 75 to < 85

1.25 (1.15–1.36)

< 0.0001

1.19 (1.09–1.30)

< 0.0001

1.19 (1.09–1.30)

< 0.0001

  ≥ 85

1.43 (1.28–1.60)

< 0.0001

1.37 (1.22–1.53)

< 0.0001

1.37 (1.22–1.53)

< 0.0001

Sex

 Male

Ref

 

Ref

 

Ref

 

 Female

0.81 (0.75–0.87)

0.50

0.74 (0.68–0.80)

< 0.0001

0.73 (0.68–0.80)

< 0.0001

Race

 White

Ref

 

Ref

 

Ref

 

 Black

1.32 (1.19–1.48)

< 0.0001

1.30 (1.16–1.45)

< 0.0001

1.29 (1.15–1.44)

< 0.0001

 Other

0.80 (0.69–0.94)

0.005

0.78 (0.67–0.91)

0.002

0.78 (0.67–0.90)

0.001

Charlson–Romano score, per unit change

1.15 (1.14–1.16)

< 0.0001

1.14 (1.13–1.16)

< 0.0001

1.14 (1.13–1.16)

< 0.0001

Diuretics

1.12 (0.94–1.33)

0.21

1.03 (0.86–1.24)

0.72

1.03 (0.86–1.24)

0.74

Statins

0.86 (0.70–1.05)

0.13

0.79 (0.64–0.97)

0.02

0.79 (0.64–0.97)

0.02

ACE inhibitor

1.09 (0.88–1.34)

0.43

1.11 (0.90–1.38)

0.32

1.11 (0.90–1.38)

0.33

Beta blockers

1.42 (1.20–1.68)

< 0.0001

1.41 (1.18–1.68)

0.0001

1.40 (1.18–1.68)

0.0001

Allopurinol use

0.86 (0.79–0.94)

0.001

0.82 (0.76–0.90)

< 0.0001

–

–

Allopurinol use durationa

 0 days

Ref

 

–

–

Ref

 

 1 to 180 days

0.99 (0.88–1.12)

0.88

–

–

0.96 (0.85–1.08)

0.49

 181 days to 2 years

0.81 (0.72–0.90)

0.0002

–

–

0.76 (0.68–0.85)

< 0.0001

  > 2 years

0.74 (0.62–0.90)

0.002

–

–

0.72 (0.60–0.87)

0.001

  1. Significant hazards ratios and P values are in bold
  2. aBased on person day count
  3. Model 1 = Allopurinol use + age + race + sex + Charlson–Romano score + beta blockers + diuretics + ACE inhibitors + statins
  4. Model 2 = Allopurinol duration + age + race + sex + Charlson–Romano score + beta blockers + diuretics + ACE inhibitors + statins
  5. HR hazard ratio, CI confidence interval, Ref referent category