Outcome and daily defined dose prescribeda | No. events in the Z-drug cohort | Sleep disturbance and no sedative-hypnotic (n = 1833) | No Z-drug, proximal GP consultation (n = 10,214) | ||
---|---|---|---|---|---|
Age, sex adjusted | Fully adjustedb | Age, sex adjusted | Fully adjustedb | ||
Fracture | |||||
 ≤ 0.5 | 117 | 1.30 (0.99–1.70) | 1.22 (0.90–1.66) | 1.33 (1.07–1.65) | 1.28 (1.01–1.63) |
 0.6–0.9 | 5 | 1.28 (0.51–3.20) | 1.06 (0.39–2.89) | 1.24 (0.50–3.05) | 1.08 (0.42–2.76) |
 ≥ 1 | 42 | 1.70 (1.19–2.42) | 1.67 (1.13–2.46)c | 1.66 (1.18–2.34) | 1.58 (1.09–2.28)c |
Hip fracture | |||||
 ≤ 0.5 | 55 | 1.30 (0.88–1.93) | 1.21 (0.78–1.90) | 1.42 (1.03–1.97) | 1.43 (1.00–2.06) |
 0.6–0.9 | < 5 | 1.10 (0.26–4.67) | 0.79 (0.15–4.11) | 1.27 (0.31–5.22) | 1.05 (0.24–4.64) |
 ≥ 1 | 27 | 2.30 (1.45–3.65) | 1.96 (1.16–3.31)c | 2.50 (1.61–3.89) | 2.36 (1.44–3.87)c |
Forearm fracture | |||||
 ≤ 0.5 | 20 | 1.66 (0.81–3.40) | 1.22 (0.48–3.12) | 1.28 (0.77–2.15) | 1.29 (0.73–2.27) |
 ≥ 0.6 | 9 | 2.18 (0.98–4.85) | 1.91 (0.67–5.47) | 1.53 (0.72–3.24) | 1.42 (0.59–3.38) |
Fall | |||||
 ≤ 0.5 | 335 | 1.05 (0.90–1.22) | 0.95 (0.80–1.13) | 1.43 (1.26–1.63) | 1.35 (1.17–1.56)c |
 0.6–0.9 | 14 | 0.84 (0.49–1.44) | 0.73 (0.41–1.29) | 1.19 (0.70–2.02) | 1.07 (0.61–1.87) |
 ≥ 1 | 124 | 1.42 (1.15–1.74) | 1.33 (1.06–1.66)c | 1.92 (1.58–2.35) | 1.81 (1.46–2.34)c |
Mortality | |||||
 ≤ 0.5 | 321 | 1.49 (1.26–1.77) | 1.38 (1.14–1.68)c | 1.18 (1.03–1.34) | 1.07 (0.93–1.24) |
 0.6–0.9 | 16 | 1.56 (0.95–2.56) | 1.60 (0.96–2.70) | 1.25 (0.77–2.02) | 1.22 (0.75–1.99) |
 ≥ 1 | 99 | 1.56 (1.24–1.96) | 1.33 (1.03–1.71) | 1.26 (1.02–1.55) | 1.06 (0.85–1.33) |
Acute bacterial infection | |||||
 ≤ 0.5 | 297 | 1.15 (0.98–1.36) | 1.00 (0.83–1.20) | 1.37 (1.20–1.57) | 1.23 (1.06–1.43)c |
 0.6–0.9 | 13 | 0.98 (0.56–1.72) | 0.86 (0.47–1.57) | 1.20 (0.69–2.08) | 1.12 (0.63–1.99) |
 ≥ 1 | 106 | 1.40 (1.12–1.76) | 1.25 (0.98–1.60) | 1.64 (1.32–2.04) | 1.52 (1.21–1.91)c |
Ischaemic stroke/transient ischaemic attack | |||||
 ≤ 0.5 | 55 | 1.04 (0.72–1.51) | 1.12 (0.71–1.75) | 0.96 (0.71–1.30) | 0.95 (0.68–1.31) |
 0.6–0.9 | 5 | 1.97 (0.78–4.96) | 1.98 (0.74–5.28) | 1.74 (0.72–4.19) | 1.71 (0.74–3.98) |
 ≥ 1 | 33 | 2.07 (1.36–3.15) | 1.88 (1.14–3.10)c | 1.90 (1.30–2.79) | 1.61 (1.08–2.42) |
Venous thromboembolism | |||||
 ≤ 0.5 | 26 | 2.01 (1.16–3.49) | 2.00 (0.90–4.47) | 1.35 (0.85–2.13) | 1.26 (0.74–2.12) |
 ≥ 0.6 | < 5 | 0.78 (0.27–2.25) | 0.85 (0.21–3.39) | 0.56 (0.21–1.54) | 0.66 (0.22–1.95) |