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Table 4 Adjusted hazard and rate ratios for new Z-drug prescription and new prescriptions, GP consultations, and hospital admissions for people with dementia

From: Adverse effects of Z-drugs for sleep disturbance in people living with dementia: a population-based cohort study

Outcome

 

Comparator

Z-drug (n = 3532)

Sleep disturbance, no sedative-hypnotic (n = 1833)

No Z-drug, proximal GP consultation (n = 10,214)

Benzodiazepine (n = 5172)

Number of hospital admissions

 Rate per 100PY (events)

126.7 (1944)

93.0 (1671)

107.7 (3563)

129.4 (2441)

 Age, sex-adjusted RR (95% CI)

NA

1.34 (1.20–1.49)

1.26 (1.15–1.39)

0.98 (0.89–1.09)

 Fully adjusted RR (95% CI)a

NA

1.26 (1.13–1.40)b

1.17 (1.07–1.27)b

0.92 (0.84–1.01)

Number of GP consultations

 Rate per 100PY (events)

1387.8 (21292)

1124.6 (20209)

1511.7 (50021)

1502.6 (28335)

 Age, sex-adjusted RR (95% CI)

NA

1.29 (1.22–1.37)

0.97 (0.93–1.01)

0.94 (0.90–0.98)

 Fully adjusted RR (95% CI)a

NA

1.17 (1.12–1.23)b

1.07 (1.04–1.11)b

0.96 (0.93–1.00)

New antipsychotic prescription

 Incidence rate per 100PY (events)

38.7 (331)

10.3 (130)

15.2 (227)

75.4 (532)

 Age, sex-adjusted HR (95% CI)

NA

2.53 (2.03–3.14)

3.68 (3.10–4.37)

0.79 (0.68–0.90)

 Fully adjusted HR (95% CI)a

NA

2.37 (1.84–3.04)b

3.85 (3.18–4.65)b

0.86 (0.74–0.99)

New antidepressant prescription

 Incidence rate per 100PY (events)

23.8 (172)

8.2 (82)

10.3 (199)

30.3 (242)

 Age, sex-adjusted HR (95% CI)

NA

2.24 (1.70–2.94)

2.52 (2.05–3.10)

0.86 (0.71–1.05)

 Fully adjusted HR (95% CI)a

NA

2.32 (1.65–3.25)b

2.65 (2.09–3.37)b

0.88 (0.71–1.10)

New antibiotic prescription

 Incidence rate per 100PY (events)

109.1 (791)

61.2 (517)

89.5 (1738)

111.0 (1096)

 Age, sex-adjusted HR (95% CI)

NA

1.46 (1.30–1.65)

1.27 (1.17–1.38)

1.01 (0.92–1.10)

 Fully adjusted HR (95% CI)a

NA

1.34 (1.17–1.52)b

1.19 (1.08–1.30)b

1.05 (0.95–1.15)

  1. Abbreviations: HR hazard ratio, CI confidence interval, PY person-years, RR rate ratio
  2. aAdjusted for all covariates listed in Table 1
  3. bFully adjusted HR remaining statistically significant after controlling the false discovery rate to < 5% (based on 13 outcomes)