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Table 3 Treatment Effects Compared to Placebo/Control in a Network Meta-Analysis Model Incorporating Randomized and Non-Randomized Studies: Fracture, Mortality, Cerebrovascular Event, and Fall

From: Safety of pharmacologic interventions for neuropsychiatric symptoms in dementia: a systematic review and network meta-analysis

Intervention (vs. Placebo/Control)

Combined RCT + NRS RR (95% CrI)

RCT RR

(95% CrI)

NRS RR

(95% CrI)

Fracture

 Anticonvulsants

0.63 (0.05 to 6.54)

0.63 (0.08 to 4.33)

–

 Antidepressants

0.82 (0.16 to 3.24)

0.74 (0.12 to 3.11)

0.94 (0.25 to 2.39)

 Antipsychotics

0.89 (0.29 to 2.68)

0.77 (0.36 to 1.58)

1.05 (0.41 to 2.25)

 Cholinesterase Inhibitor + Memantine

6.18 (0.5 to 325.1)

6.1 (0.7 to 294.8)

–

 Cholinesterase Inhibitors

1.02 (0.36 to 2.76)

1.23 (0.81 to 1.91)

0.84 (0.48 to 1.52)

 Memantine

0.59 (0.1 to 3.38)

0.59 (0.17 to 1.93)

–

Mortality

 Anticonvulsants

1.28 (0.82 to 1.99)

1.27 (0.81 to 2.0)

1.29 (0.85 to 1.9)

 Antidepressants

0.86 (0.5 to 1.48)

0.86 (0.49 to 1.5)

0.87 (0.52 to 1.43)

 Antipsychotics

1.33 (1.01 to 1.73)

1.28 (1 to 1.59)

1.38 (1.13 to 1.69)

 Anxiolytic/hypnotics

0.84 (0.41 to 1.72)

–

0.84 (0.44 to 1.61)

 Cholinesterase Inhibitor + Memantine

1.04 (0.68 to 1.58)

1.02 (0.66 to 1.52)

1.06 (0.72 to 1.57)

 Cholinesterase Inhibitors

0.84 (0.65 to 1.1)

0.84 (0.71 to 0.99)

0.84 (0.68 to 1.04)

 Memantine

1.15 (0.84 to 1.59)

1.12 (0.87 to 1.43)

1.17 (0.87 to 1.64)

Cerebrovascular Event

 Anticonvulsants

1.03 (0.1 to 11.56)

1.02 (0.15 to 8.05)

–

 Antidepressants

0.27 (< 0.01 to 8.34)

0.28 (< 0.01 to 6.8)

–

 Antipsychotics

1.76 (0.57 to 4.79)

2.02 (1.25 to 3.39)

1.51 (0.63 to 3.28)

 Cholinesterase Inhibitor + Memantine

1.04 (0.16 to 5.73)

1.05 (0.27 to 3.29)

–

 Cholinesterase Inhibitors

0.93 (0.3 to 2.5)

0.99 (0.72 to 1.42)

0.86 (0.33 to 1.89)

 Dextromethorphan-Quinidine

1.11 (0.03 to 40.95)

1.11 (0.04 to 30.25)

–

 Memantine

0.76 (0.18 to 3.11)

0.76 (0.45 to 1.28)

–

Fall

 Anticonvulsants

1.09 (0.26 to 4.6)

1.09 (0.64 to 1.89)

–

 Antidepressants

1.32 (0.49 to 3.98)

1.16 (0.67 to 1.97)

1.59 (0.79 to 2.84)

 Antipsychotics

1.21 (0.5 to 3.74)

1.05 (0.91 to 1.23)

1.54 (0.82 to 2.88)

 Cholinesterase Inhibitor + Memantine

0.97 (0.24 to 3.94)

0.96 (0.66 to 1.43)

–

 Cholinesterase Inhibitors

0.94 (0.24 to 3.73)

0.94 (0.79 to 1.14)

–

 Dextromethorphan-Quinidine

3.66 (0.72 to 18.91)

3.65 (1.4 to 10.42)

–

 Memantine

0.95 (0.24 to 3.82)

0.95 (0.79 to 1.15)

–

  1. Abbreviations: CrI credible interval, NRS non-randomized study, RCT randomized trial, RR relative risk