Lipid-lowering medication and risk of injury

被引:1
作者
Bovbjerg, VE
Siscovick, DS
Psaty, BM
McCann, BS
Koepsell, TD
Raghunathan, TE
Wagner, EH
机构
[1] Virginia Commonwealth Univ, Dept Internal Med, Richmond, VA 23298 USA
[2] Virginia Commonwealth Univ, Dept Biostat, Richmond, VA 23298 USA
[3] Virginia Commonwealth Univ, Dept Hlth Adm, Richmond, VA 23298 USA
[4] Univ Washington, Dept Med, Seattle, WA USA
[5] Univ Washington, Dept Hlth Serv, Seattle, WA 98195 USA
[6] Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
[7] Univ Michigan, Inst Social Res, Ann Arbor, MI 48109 USA
[8] Grp Hlth Cooperat Puget Sound, Ctr Hlth Studies, Seattle, WA USA
关键词
anticholesterolemic agents; cholesterol; lipoproteins; injury; coronary disease; case-control study;
D O I
10.1016/S0895-4356(99)00125-0
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Meta-analyses of early primary prevention trials of lipid-lowering therapies suggested increased risk of injury deaths among treated persons. Our population-based case-control study examined the association of lipid-lowering medication use with fatal and nonfatal injuries in 298 cases and 332 controls. No increased injury risk was observed among current (OR = 0.46, 95% CI 0.18-1.21) or past users (OR = .92, 95% CI 0.44-1.95), after adjustment for behavioral disorders, medical conditions, and health status. Stratified analyses did not reveal sub-groups at significantly increased risk. These results, consistent with recent clinical trials and meta-analyses, suggest no increased injury risk associated with lipid-lowering medications. (C) Elsevier Science, Inc.
引用
收藏
页码:1197 / 1200
页数:4
相关论文
共 11 条
[1]   THE ASSOCIATION BETWEEN CHOLESTEROL AND DEATH FROM INJURY [J].
CUMMINGS, P ;
PSATY, BM .
ANNALS OF INTERNAL MEDICINE, 1994, 120 (10) :848-855
[2]   LOW SERUM-CHOLESTEROL AND SUICIDE [J].
ENGELBERG, H .
LANCET, 1992, 339 (8795) :727-729
[3]   Cholesterol and violence: Is there a connection? [J].
Golomb, BA .
ANNALS OF INTERNAL MEDICINE, 1998, 128 (06) :478-487
[4]   CHOLESTEROL REDUCTION YIELDS CLINICAL BENEFIT - A NEW LOOK AT OLD DATA [J].
GOULD, AL ;
ROSSOUW, JE ;
SANTANELLO, NC ;
HEYSE, JF ;
FURBERG, CD .
CIRCULATION, 1995, 91 (08) :2274-2282
[5]  
GRUNDY SM, 1993, JAMA-J AM MED ASSOC, V269, P3015, DOI 10.1001/jama.269.23.3015
[6]   CHOLESTEROL AND VIOLENT DEATH [J].
KATZ, AM .
JOURNAL OF MOLECULAR AND CELLULAR CARDIOLOGY, 1991, 23 (11) :1343-1344
[7]   LOWERING CHOLESTEROL CONCENTRATIONS AND MORTALITY - A QUANTITATIVE REVIEW OF PRIMARY PREVENTION TRIALS [J].
MULDOON, MF ;
MANUCK, SB ;
MATTHEWS, KA .
BMJ-BRITISH MEDICAL JOURNAL, 1990, 301 (6747) :309-314
[8]  
PEDERSEN TR, 1994, LANCET, V344, P1383
[9]   AN APPROACH TO SEVERAL PROBLEMS IN USING LARGE DATABASES FOR POPULATION-BASED CASE-CONTROL STUDIES OF THE THERAPEUTIC EFFICACY AND SAFETY OF ANTIHYPERTENSIVE MEDICINES [J].
PSATY, BM ;
KOEPSELL, TD ;
SISCOVICK, D ;
WAHL, P ;
LOGERFO, JP ;
INUI, TS ;
WAGNER, EH .
STATISTICS IN MEDICINE, 1991, 10 (04) :653-662
[10]   PREVENTION OF CORONARY HEART-DISEASE WITH PRAVASTATIN IN MEN WITH HYPERCHOLESTEROLEMIA [J].
SHEPHERD, J ;
COBBE, SM ;
FORD, I ;
ISLES, CG ;
LORIMER, AR ;
MACFARLANE, PW ;
MCKILLOP, JH ;
PACKARD, CJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (20) :1301-1307