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Table 3 Sensitivity analyses of risk for dementia in the RLS and control groups

From: Restless leg syndrome and risk of all-cause dementia: a nationwide retrospective cohort study

 

Model 1: Definition of dementia by ICD-10 codes plus anti-dementia medicationsb

Model 2: Definition of RLS by ICD-10 code plus dopamine agonistsc

Model 3: Exclusion of patients taking antipsychotic agentsd

Model 4: Diagnosis of RLS by psychiatrists or neurologists

Cases, n (%)

aHRa (95% CI)

p-value

Cases, n (%)

aHRa (95% CI)

p-value

Cases, n (%)

aHRa (95% CI)

p-value

Cases, n (%)

aHRa (95% CI)

p-value

All-cause dementia

 RLS group

147 (6.2)

1.51 (1.22–1.88)

 < 0.001

129 (8.8)

1.40 (1.12–1.76)

0.004

256 (10.3)

1.44 (1.22–1.70)

 < 0.001

152 (13.2)

1.86 (1.50–2.31)

 < 0.001

 Control group

332 (3.4)

1 (reference)

 

316 (5.5)

1 (reference)

 

611 (6.2)

1 (reference)

 

316 (6.9)

1 (reference)

 

AD

 RLS group

94 (3.9)

1.23 (0.94–1.62)

0.133

66 (4.5)

1.36 (0.94–1.85)

0.055

137 (5.5)

1.37 (1.10–1.71)

0.006

87 (7.5)

1.76 (1.32–2.34)

 < 0.001

 Control group

236 (2.4)

1 (reference)

 

162 (2.8)

1 (reference)

 

334 (3.4)

1 (reference)

 

176 (3.8)

1 (reference)

 

VaD

 RLS group

45 (1.9)

2.33 (1.58–3.43)

 < 0.001

30 (2.1)

1.62 (1.01–2.58)

0.045

63 (2.5)

1.79 (1.28–2.50)

0.001

37 (3.2)

2.72 (1.76–4.20)

 < 0.001

 Control group

78 (0.8)

1 (reference)

 

68 (1.2)

1 (reference)

 

130 (1.3)

1 (reference)

 

58 (1.3)

1 (reference)

 
  1. Abbreviations: AD, Alzheimer’s disease; aHR, adjusted hazard ratio; CCI, Charlson Comorbidity Index; CI, confidence interval; ICD, International Classification of Diseases; RLS, restless leg syndrome; VaD, Vascular dementia
  2. aAdjusted for income, region, CCI score, history of sleep disorder, schizophrenia or other psychotic disorders, mood disorder, anxiety disorder, Parkinson’s disease, and iron deficiency anemia
  3. bAnti-dementia medications include donepezil, rivastigmine, galantamine, and memantine
  4. cPatients with Parkinson’s disease were excluded from these analyses. Dopamine agonists include pramipexole and ropinirole
  5. dAntipsychotic agents include haloperidol, sulpiride, chlorpromazine, perphenazine, pimozide, risperidone, olanzapine, quetiapine, paliperidone, amisulpride, aripiprazole, ziprasidone, clozapine, blonanserin, and zotepine