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  1. Mortality hazard associated with prescription hypnotics.

    Article - En anglais

    Background 

    The American Cancer Society's Cancer Prevention Study II was a large survey designed primarily to examine cancer risks such as cigarette smoking.

    From the same survey and methods, data on usage of « prescription sleeping pills » in 1982 were examined.

    Methods 

    Standardized mortality ratios were computed.

    Because sleeping pill use could be a proxy for other risk factors, Cox proportional hazards models were computed to control for possible confounding factors as extensively as the data permitted.

    Results 

    Men and women who reported taking prescription sleeping pills SO+times in the past month had standardized mortality ratios of 3.18 and 2.82, respectively ; controlling for 10-year age groups (p<0.001).

    The standardized mortality ratios for usage 1-29 times/month were 1.8 and 1.48, respectively (p<0.001).

    In proportional hazards models that controlled for 30 other risk factors and comorbidities simultaneously, the excess mortality risk associated with usage 30+times per month remained significant, but hazard ratios were reduced to 1.35 for men and 1.22 for women.

    Conclusions 

    Use of hypnotics was associated with excess mortality.

    This methodology could not determine if hypnotic compounds caused the risks associated with their use, nor could the risks of individual compounds be determined.

    Since millions of Americans are currently taking hypnotics, long-term controlled trials are urgently needed to further guide both patients and physicians.

    Mots-clés Pascal : Hypnotique, Psychotrope, Prescription médicale, Facteur risque, Mortalité, Epidémiologie, Etats Unis, Amérique du Nord, Amérique, Homme

    Mots-clés Pascal anglais : Hypnotic, Psychotropic, Medical prescription, Risk factor, Mortality, Epidemiology, United States, North America, America, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0310426

    Code Inist : 002B02B07. Création : 27/11/1998.