Antidepressant nonuser (n = 21,820) | Antidepressant user (n = 10,910) | Unadjusted OR (95% CI) | Propensity score adjusted OR (95% CI) | |
---|---|---|---|---|
Female gender (matching criteria) | 69.0% (15,064) | 69.0% (7532) | 1.00 (0.95–1.05) | 0.94 (0.90–1.00) |
Aged ≥80 years (matching criteria) | 51.6% (11,261) | 51.4% (5613) | 0.99 (0.95–1.04) | 0.94 (0.90–1.00) |
Socioeconomic position | ||||
High | 34.7% (7578) | 33.5% (3659) | Reference | Reference |
Medium | 57.8% (12,618) | 59.2% (6463) | 1.06 (1.01–1.12) | 1.04 (0.98–1.09) |
Low | 6.3% (1380) | 6.0% (655) | 0.98 (0.90–1.09) | 0.92 (0.83–1.01) |
Unknown | 1.1% (244) | 1.2% (133) | 1.13 (0.91–1.40) | 1.06 (0.85–1.33) |
Comorbidities | ||||
Cardiovascular disease | 50.6% (11,043) | 50.7% (5533) | 1.00 (0.96–1.05) | 1.00 (0.95–1.05) |
Chronic heart failure | 28.1% (6124) | 29.8% (3215) | 1.09 (1.03–1.14) | 1.00 (0.95–1.06) |
Cardiac arrhythmia | 6.6% (1441) | 7.4% (807) | 1.13 (1.03–1.24) | 1.00 (0.91–1.10) |
Hypertension | 30.0% (6543) | 31.6% (3445) | 1.08 (1.03–1.13) | 1.00 (0.95–1.05) |
Epilepsy | 2.1% (451) | 1.8% (198) | 0.87 (0.74–1.04) | 0.99 (0.83–1.17) |
Asthma/COPD | 8.4% (1837) | 8.5% (925) | 1.01 (0.93–1.10) | 1.00 (0.92–1.09) |
Any chronic pulmonary disease | 10.4% (2258) | 11.1% (1209) | 1.08 (1.00–1.16) | 1.00 (0.93–1.08) |
Pulmonary circulation disorders | 0.1% (19) | 0.1% (11) | 1.16 (0.55–2.44) | 1.01 (0.48–2.15) |
Diabetes | 14.1% (3066) | 12.8% (1395) | 0.90 (0.84–0.96) | 0.99 (0.93–1.06) |
Complicated diabetes | 16.1% (3506) | 14.9% (1625) | 0.91 (0.86–0.98) | 0.99 (0.93–1.06) |
Schizophrenia | 1.3% (282) | 1.1% (121) | 0.86 (0.69–1.06) | 0.97 (0.78–1.21) |
Bipolar disorder/depression | 1.8% (388) | 2.7% (291) | 1.51 (1.30–1.77) | 1.00 (0.85–1.17) |
Psychosis | 3.7% (806) | 5.7% (624) | 1.58 (1.42–1.76) | 1.00 (0.90–1.12) |
Metastatic cancer | 0.2% (41) | 0.2% (18) | 0.88 (0.51–1.53) | 0.99 (0.56–1.74) |
Any tumor | 12.2% (2666) | 13.0% (1420) | 1.08 (1.00–1.15) | 1.00 (0.93–1.08) |
Renal failure | 1.3% (273) | 1.0% (109) | 0.80 (0.64–1.00) | 0.97 (0.77–1.22) |
Hemiplegia | 0.5% (99) | 0.5% (59) | 1.19 (0.86–1.65) | 1.01 (0.72–1.40) |
Coagulopathy | 0.6% (135) | 0.7% (78) | 1.16 (0.87–1.53) | 1.01 (0.75–1.34) |
Liver disease | 1.1% (231) | 1.0% (110) | 0.95 (0.76–1.20) | 0.99 (0.79–1.26) |
Peripheral vascular disorder | 4.4% (958) | 5.0% (550) | 1.16 (1.04–1.29) | 1.00 (0.90–1.12) |
Anemia | 6.8% (1485) | 6.4% (693) | 0.93 (0.85–1.02) | 0.99 (0.90–1.09) |
Fluid and electrolyte disorders | 2.9% (633) | 3.4% (367) | 1.17 (1.02–1.33) | 1.00 (0.87–1.14) |
Alcohol abuse | 1.1% (239) | 1.5% (162) | 1.36 (1.11–1.66) | 1.01 (0.81–1.23) |
Substance abuse | 1.6% (343) | 2.0% (218) | 1.28 (1.08–1.52) | 1.00 (0.84–1.19) |
Previous hospital-treated fracture | 19.1% (4165) | 21.3% (2328) | 1.15 (1.09–1.22) | 1.00 (0.95–1.07) |
Hip fracture | 5.3% (1153) | 6.2% (673) | 1.18 (1.07–1.30) | 1.00 (0.91–1.11) |
Stroke | 8.8% (1928) | 10.1% (1097) | 1.15 (1.07–1.25) | 1.01 (0.93–1.09) |
Drug use | ||||
Drug use ever before the start of the follow-up | ||||
Opioids | 20.3% (4419) | 24.6% (2678) | 1.28 (1.21–1.35) | 1.00 (0.95–1.06) |
Antipsychotics | 10.0% (2175) | 10.5% (1147) | 1.06 (0.98–1.15) | 0.99 (0.92–1.07) |
BZDRs | 34.8% (7583) | 45.4% (4952) | 1.56 (1.49–1.64) | 1.01 (0.96–1.07) |
Antidepressants | 13.5% (2942) | 21.2% (2315) | 1.73 (1.63–1.84) | 1.01 (0.94–1.08) |
Bisphosphonates | 13.4% (2915) | 14.3% (1560) | 1.08 (1.01–1.16) | 1.00 (0.93–1.07) |
Anti-parkinson drugs | 3.3% (727) | 3.8% (410) | 1.13 (1.00–1.28) | 1.00 (0.88–1.14) |
Antiepileptics | 7.5% (1636) | 8.9% (975) | 1.21 (1.11–1.32) | 1.00 (0.92–1.09) |
Analgesics | 78.9% (17,215) | 82.1% (8952) | 1.22 (1.15–1.30) | 1.01 (0.95–1.07) |
Cardiovascular drugs | 84.0% (18,328) | 85.5% (9327) | 1.12 (1.05–1.20) | 1.00 (0.94–1.07) |
Drug use at the start of the follow-up | ||||
Opioids | 3.9% (851) | 7.4% (805) | 1.96 (1.78–2.17) | 1.00 (0.90–1.11) |
Antipsychotics | 13.2% (2875) | 20.7% (2260) | 1.72 (1.62–1.83) | 1.00 (0.94–1.08) |
BZDRs | 16.9% (3696) | 31.0% (3379) | 2.20 (2.09–2.32) | 1.00 (0.92–1.08) |