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ORIGINAL INVESTIGATION Antipsychotic Therapy and Short-term Serious Events in Older Adults With Dementia Paula A. Rochon, MD, MPH, FRCPC; Sharon-Lise Normand, PhD; Tara Gomes, MHSc; Sudeep S. Gill, MD, MSc; Geoffrey M. Anderson, MD, PhD; Magda Melo, MSc; Kathy Sykora, MSc; Lorraine Lipscombe, MD, MSc; Chaim M. Bell, MD, PhD; Jerry H. Gurwitz, MD Background: Antipsychotic therapy is widely used to els that included all covariates with a standard differ- treat behavioral problems in older adults with demen- ence greater than 0.10. tia. Cohort studies evaluating the safety of antipsy- chotic therapy generally focus on a single adverse event. Results: Relative to those who received no antipsy- We compared the rate of developing any serious event, chotic therapy, community-dwelling older adults newly a composite outcome defined as an event serious enough dispensed an atypical antipsychotic therapy were 3.2 times to lead to an acute care hospital admission or death within more likely (95% confidence interval, 2.77-3.68) and those 30 days of initiating antipsychotic therapy, to better es- who received conventional antipsychotic therapy were timate the overall burden of short-term harm associated 3.8 times more likely (95% confidence interval, 3.31- with these agents. 4.39) to develop any serious event during
JAMA Internal Medicine – American Medical Association
Published: May 26, 2008
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