TY  - JOUR
PY  - 2013//
TI  - Prescription of antidepressants and the risk of road traffic crash in the elderly: a case-crossover study
JO  - British journal of clinical pharmacology
A1  - Orriols, Ludivine
A1  - Wilchesky, Machelle
A1  - Lagarde, Emmanuel
A1  - Suissa, Samy
SP  - 810
EP  - 815
VL  - 76
IS  - 5
N2  - AIM: To investigate the impact of antidepressants on the risk of road traffic crash in the elderly.     METHODS: Reports from the Universal Quebec Automobile Insurance Agency database were matched with data on antidepressant prescription from the Quebec Health Insurance Agency. The case-crossover analysis consisted in comparing exposure during a period immediately before the crash with exposure during earlier periods, for the same subject.     RESULTS: 109406 drivers between 66 and 84 years of age involved in a traffic crash between 1988 and 2000 were included. Two thousand nine hundred and nineteen (2.7%) were exposed to an antidepressant on the day of the crash. Case-crossover analysis found an increased risk of crash in drivers with a prescription of antidepressants before their crash when compared with a prescription of antidepressants 4 to 8 months before the crash (OR = 1.19, 95% CI 1.08, 1.30 to 1.42. 95% CI 1.30, 1.55). With the most recent control periods, results were not significant.     CONCLUSION: A patient's mental state is probably more similar between two periods that are close to each other than up to 8 months before. Consequently, the risk of crash is likely to be linked to symptoms of depression.<p />  <p>Language: en</p>
LA  - en
SN  - 0306-5251
UR  - http://dx.doi.org/10.1111/bcp.12090
ID  - ref1
ER  -