From: Antidepressant use and cognitive decline in patients with dementia: a national cohort study
Variables | All dementias (n = 18 740) | AD and mixed (n = 11 415)a | VaD (n = 2194) | LBD (n = 587)a | FTD (n = 201) | Other dementias (n = 4 343) |
---|---|---|---|---|---|---|
β (95%CI) | ||||||
Sex | ||||||
 Men |  − 0.49 (− 0.63, − 0.36)b,c |  − 0.53 (− 0.71, − 0.34)b |  − 0.39 (− 0.74, − 0.04)b |  − 0.36 (− 1.01, 0.29) | 0.76 (− 1.18, 2.70) |  − 0.44 (− 0.73, − 0.16)b,c |
 Women |  − 0.14 (− 0.26, − 0.02)b |  − 0.10 (− 0.26, 0.05) |  − 0.13 (− 0.48, 0.23) | 0.60 (− 0.52, 1.73) | 1.84 (− 0.15, 3.83) |  − 0.25 (− 0.49, − 0.01)b |
Age at dementia diagnosis, y | ||||||
 < 78 years |  − 0.30 (− 0.43, − 0.17)b |  − 0.21 (− 0.37, − 0.05)b |  − 0.57 (− 0.99, − 0.15b |  − 0.15 (− 0.88, 0.57) | 1.61 (0.05, 3.17)b |  − 0.55 (− 0.86, − 0.23)b |
 ≥ 78 years |  − 0.26 (− 0.39, − 0.13)b |  − 0.30 (− 0.48, − 0.11)b |  − 0.11 (− 0.46, 0.23) |  − 0.10 (− 1.21, 1.00) | 0.29 (− 2.50, 3.08) |  − 0.21 (− 0.45, 0.02) |
Coresident status | ||||||
 Cohabiting |  − 0.29 (− 0.41, − 0.17)b |  − 0.27 (− 0.42, − 0.13)b |  − 0.30 (− 0.65, 0.05) |  − 0.37 (− 1.08, 0.34) | 1.03 (− 0.65, 2.71) |  − 0.28 (− 0.52, − 0.03)b |
 Living alone |  − 0.30 (− 0.45, − 0.15)b |  − 0.27 (− 0.48, − 0.06)b |  − 0.21 (− 0.63, 0.21) | 0.71 (− 0.38, 1.80) | 1.59 (− 0.52, 3.70) |  − 0.41 (− 0.69, − 0.12)b |
Type of diagnostic unit | ||||||
 Specialist care |  − 0.23 (− 0.37, − 0.10)b |  − 0.22 (− 0.37, − 0.07)b |  − 0.58 (− 1.06, − 0.11)b |  − 0.12 (− 0.77, 0.53) | 1.33 (− 0.04, 2.69) |  − 0.41 (− 0.92, 0.09) |
 Primary care |  − 0.30 (− 0.42, − 0.17)b |  − 0.33 (− 0.52, − 0.13)b |  − 0.13 (− 0.43, 0.16) |  − 0.26 (− 2.03, 1.50) |  − 1.17 (− 4.02, 1.69) |  − 0.32 (− 0.53, − 0.11)b |
Nursing home | ||||||
 No |  − 0.30 (− 0.39, − 0.21)b |  − 0.29 (− 0.41, − 0.17)b |  − 0.26 (− 0.52, 0.00)b | 0.00 (− 0.58 − 0.59) | 1.33 (− 0.09, 2.75) |  − 0.36 (− 0.57, − 0.16)b |
 Yes |  − 0.27 (− 0.67, 0.13) |  − 0.02 (− 0.65, 0.60) |  − 0.37 (− 1.31, 0.58) |  − 1.37 (− 3.75, 1.01) | NA |  − 0.23 (− 0.90, 0.44) |
Calendar year of diagnosis | ||||||
 2007–2012 |  − 0.31 (− 0.44, − 0.19)b |  − 0.25 (− 0.40, − 0.10)b |  − 0.49 (− 0.83, − 0.14)b |  − 0.26 (− 0.97, 0.45) | 1.24 (− 0.41, 2.88) |  − 0.32 (− 0.58, − 0.07)b |
 2013–2018 |  − 0.31 (− 0.47, − 0.15)b |  − 0.26 (− 0.47, − 0.06)b |  − 0.23 (− 0.64, 0.18) |  − 0.03 (− 0.97, 0.91) | 1.11 (− 1.28, 3.50) |  − 0.45 (− 0.75, − 0.15)b |
MMSE score at indexdate | ||||||
 0–9 |  − 1.51 (− 2.82, − 0.20)b |  − 2.42 (− 4.81, − 0.04)b |  − 2.11 (− 5.96, 1.74) | NA |  − 2.11 (− 5.96, 1.74) |  − 0.48 (− 2.84, 1.87) |
 10–19 |  − 0.29 (− 0.53, − 0.06)b |  − 0.37 (− 0.70, − 0.05)b |  − 0.07 (− 0.68, 0.54) | 0.27 (− 1.10, 1.64) | 2.48 (− 0.69, 5.66) |  − 0.15 (− 0.57, 0.27) |
 20–24 |  − 0.28 (− 0.41, − 0.14)b |  − 0.21 (− 0.39, − 0.03)b |  − 0.17 (− 0.55, 0.21) |  − 0.37 (− 1.14, 0.40) |  − 0.62 (− 2.21, 0.98) |  − 0.41 (− 0.69, − 0.14)b |
 25–30 |  − 0.19 (− 0.34, − 0.05)b |  − 0.17 (− 0.34, 0.01) |  − 0.39 (− 0.82, 0.04) | 0.23 (− 0.80, 1.26) | 1.42 (− 0.72, 3.57) |  − 0.25 (− 0.55, 0.05) |
Antipsychotics | ||||||
 No |  − 0.31 (− 0.40, − 0.21)b |  − 0.29 (− 0.41, − 0.17)b |  − 0.22 (− 0.48, 0.03) |  − 0.21 (− 0.83, 0.40) | 1.43 (0.05, 2.80)b |  − 0.37 (− 0.57, − 0.17)b |
 Yes |  − 0.24 (− 0.89, 0.41) | 0.01 (− 1.01, 1.03) |  − 1.69 (− 3.00, − 0.38)b | 0.36 (− 1.09, 1.80) |  − 3.91 (− 15.63, 7.82) |  − 0.43 (− 1.61, 0.74) |
Anxiolytics | ||||||
 No |  − 0.36 (− 0.46, − 0.26)b,c |  − 0.32 (− 0.45, − 0.19)b |  − 0.32 (− 0.59, − 0.06)b |  − 0.22 (− 0.83, 0.39) | 1.33 (− 0.07, 2.72) |  − 0.47 (− 0.69, − 0.25)b,c |
 Yes |  − 0.12 (− 0.37, 0.12) |  − 0.17 (− 0.49, 0.15) |  − 0.32 (− 1.13, 0.50) | 0.23 (− 1.23, 1.69) |  − 1.08 (− 4.71, 2.56) | 0.05 (− 0.39, 0.49) |
Hypnotics | ||||||
 No |  − 0.36 (− 0.47, − 0.25)b |  − 0.30 (− 0.44, − 0.17)b |  − 0.38 (− 0.70, − 0.05)b |  − 0.42 (− 1.10, 0.27) | 1.21 (− 0.41, 2.84) |  − 0.42 (− 0.66, − 0.19)b |
 Yes |  − 0.23 (− 0.41, − 0.04)b |  − 0.30 (− 0.55, − 0.06)b |  − 0.16 (− 0.70, 0.39) | 0.34 (− 0.75, 1.44) | 1.05 (− 1.17, 3.27) |  − 0.24 (− 0.60, 0.12) |