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Table 5 Case–control analysis determining the association of pacemaker status with medication exposure

From: The influence of cholinesterase inhibitor therapy for dementia on risk of cardiac pacemaker insertion: a retrospective, population-based, health administrative databases study in Ontario, Canada

Medication

Pacemaker (cases, N = 96,000) N (%)

No Pacemaker (controls, N = 384,000) N (%)

Unadjusted odds ratio (95% CI)

Adjusted odds ratio (95% CI)

Incident and prevalent users

Incident users only

Had a code for dementia

10488 (10.9)

87460 (22.8)

0.42 (0.41, 0.42)

0.41 (0.41, 0.42)

0.41 (0.4, 0.42)

Cholinesterase inhibitor

1530 (1.6)

15055 (3.9)

0.40 (0.38, 0.42)

0.76 (0.76, 0.80)

0.75 (0.71, 0.79)

Ace-inhibitor/Angiotensin receptor blocker

19536 (20.4)

70672 (18.4)

1.13 (1.11, 1.15)

0.99 (0.98, 1.00)

1.03 (1.01, 1.04)

Insulin/oral hypoglycemic agent

6416 (6.7)

28900 (7.5)

0.88 (0.86, 0.91)

0.81 (0.81, 0.84)

0.83 (0.81, 0.86)

Proton pump inhibitors/H2-receptor blocker

8054 (8.4)

55903 (14.6)

0.54 (0.52, 0.55)

0.51 (0.51, 0.52)

0.53 (0.52, 0.55)

Selective serotonin reuptake inhibitor

2591 (2.7)

25525 (6.6)

0.39 (0.37, 0.41)

0.44 (0.44, 0.46)

0.45 (0.43, 0.47)

Statin

12746 (13.3)

53896 (14)

0.94 (0.92, 0.96)

0.84 (0.83, 0.85)

0.89 (0.87, 0.91)

Thiazide diuretic

4138 (4.3)

24407 (6.4)

0.66 (0.64, 0.69)

0.61 (0.61, 0.63)

0.64 (0.62, 0.66)

Thyroxine

4353 (4.5)

18660 (4.9)

0.93 (0.90, 0.96)

0.88 (0.88, 0.91)

0.9 (0.87, 0.94)

Vaughan-Williams drug class

     

Ia

272 (0.3)

352 (0.1)

3.10 (2.64, 3.63)

2.33 (2.29, 2.75)

2.38 (2, 2.82)

Ib

41 (0)

74 (0)

2.22 (1.51, 3.25)

1.47 (1.41, 2.20)

1.5 (0.99, 2.28)

Ic

907 (0.9)

840 (0.2)

4.35 (3.96, 4.78)

3.58 (3.54, 3.95)

3.66 (3.31, 4.05)

II (beta-blockers)

15770 (16.4)

38904 (10.1)

1.74 (1.71, 1.78)

1.60 (1.60, 1.63)

1.59 (1.56, 1.63)

III

3614 (3.8)

3939 (1)

3.77 (3.61, 3.95)

3.48 (3.46, 3.65)

3.47 (3.31, 3.65)

IV (calcium channel blockers)

6291 (6.6)

15501 (4)

1.67 (1.62, 1.72)

1.49 (1.49, 1.54)

1.48 (1.43, 1.53)

V (digoxin)

7965 (8.3)

17815 (4.6)

1.86 (1.81, 1.91)

1.69 (1.69, 1.74)

1.67 (1.62, 1.72)

  1. CI = Confidence interval.
  2. This is a case–control analysis in which cases and controls were matched based on age and sex. The adjusted odds ratio adjusts for all covariates in the table. The incident user analysis excluded exposures in patients who were already taking the medication at study entry.