Association of Cerebrovascular Events With Antidepressant Use: A Case-Crossover Study

作者: Chi-Shin Wu , Sheng-Chang Wang , Yu-Cheng Cheng , Susan Shur-Fen Gau

DOI: 10.1176/APPI.AJP.2010.10071064

关键词: Emergency medicineStrokeAntidepressantOddsMoodConfoundingOdds ratioCrossover studyPsychiatryConfidence intervalMedicinePsychiatry and Mental health

摘要: Objective:The authors sought to assess the risk of cerebrovascular events associated with use antidepressant medications. Method:The conducted a case-crossover study 24,214 patients stroke enrolled in National Health Insurance Research Database Taiwan from 1998 2007. The compared rates during case and control time windows 7, 14, 28 days. Adjustments were made for time-dependent variables, such as health system utilization proposed confounding Stratified analyses performed valuing interaction between age, sex, presence mood disorder, type, severity chronic illness, duration treatment. A conditional logistic regression model was used determine odds windows. Results:The adjusted ratio exposure 1.48 (95% confidence interval=1.37–1.59) using 14-day...

参考文章(36)
J Robert Swenson, Steve Doucette, Dean Fergusson, Adverse Cardiovascular Events in Antidepressant Trials Involving High-Risk Patients: A Systematic Review of Randomized Trials The Canadian Journal of Psychiatry. ,vol. 51, pp. 923- 929 ,(2006) , 10.1177/070674370605101408
Francisco J. De Abajo, Hershel Jick, Laura Derby, Susan Jick, Stephen Schmitz, Intracranial haemorrhage and use of selective serotonin reuptake inhibitors. British Journal of Clinical Pharmacology. ,vol. 50, pp. 43- 47 ,(2000) , 10.1046/J.1365-2125.2000.00216.X
Rajamannar Ramasubbu, Cerebrovascular Effects of Selective Serotonin Reuptake Inhibitors: A Systematic Review The Journal of Clinical Psychiatry. ,vol. 65, pp. 1642- 1653 ,(2004) , 10.4088/JCP.V65N1209
Susan Shur-Fen Gau, Ching-Hu Chung, Churn-Shiouh Gau, A Pharmacoeconomic Analysis of Atypical Antipsychotics and Haloperidol in First-Episode Schizophrenic Patients in Taiwan Journal of Clinical Psychopharmacology. ,vol. 28, pp. 271- 278 ,(2008) , 10.1097/JCP.0B013E3181723713
Lut Tamam, Nurgul Ozpoyraz, Selective serotonin reuptake inhibitor discontinuation syndrome: a review. Advances in Therapy. ,vol. 19, pp. 17- 26 ,(2002) , 10.1007/BF02850015
Trudie C. Somberg, Rohit R. Arora, Depression and heart disease: therapeutic implications. The Cardiology. ,vol. 111, pp. 75- 81 ,(2008) , 10.1159/000119692
P. G. Surtees, N.W.J. Wainwright, R. N. Luben, N. J. Wareham, S. A. Bingham, K.-T Khaw, Psychological distress, major depressive disorder, and risk of stroke Neurology. ,vol. 70, pp. 788- 794 ,(2008) , 10.1212/01.WNL.0000304109.18563.81
William H. Sauer, Jesse A. Berlin, Stephen E. Kimmel, Selective Serotonin Reuptake Inhibitors and Myocardial Infarction Circulation. ,vol. 104, pp. 1894- 1898 ,(2002) , 10.1161/HC4101.097519
Moride Yola, Abenhaim Lucien, Evidence of the depletion of susceptibles effect in non-experimental pharmacoepidemiologic research. Journal of Clinical Epidemiology. ,vol. 47, pp. 731- 737 ,(1994) , 10.1016/0895-4356(94)90170-8
Christianne L. Roumie, Edward Mitchel, Patricia S. Gideon, Cristina Varas-Lorenzo, Jordi Castellsague, Marie R. Griffin, Validation of ICD-9 codes with a high positive predictive value for incident strokes resulting in hospitalization using Medicaid health data. Pharmacoepidemiology and Drug Safety. ,vol. 17, pp. 20- 26 ,(2008) , 10.1002/PDS.1518