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@ARTICLE{Taipale:140088,
author = {Taipale, Heidi and Gomm, Willy and Broich, Karl and Maier,
Wolfgang and Tolppanen, Anna-Maija and Tanskanen, Antti and
Tiihonen, Jari and Hartikainen, Sirpa and Haenisch, Britta},
title = {{U}se of {A}ntiepileptic {D}rugs and {D}ementia {R}isk-an
{A}nalysis of {F}innish {H}ealth {R}egister and {G}erman
{H}ealth {I}nsurance {D}ata.},
journal = {Journal of the American Geriatrics Society},
volume = {66},
number = {6},
issn = {0002-8614},
address = {Oxford [u.a.]},
publisher = {Wiley-Blackwell},
reportid = {DZNE-2020-06410},
pages = {1123-1129},
year = {2018},
abstract = {To evaluate the association between regular antiepileptic
drug (AED) use and incident dementia.Case-control
analysis.Finnish public health register and German health
insurance data.Individuals with dementia of any type (German
data, N=20,325) and Alzheimer's disease (AD; Finnish data,
N=70,718) were matched with up to four control persons
without dementia.We analyzed the association between regular
AED use and dementia. To address potential protopathic bias,
a lag time of 2 years between AED use and dementia diagnosis
was introduced. Odds ratios (ORs) were calculated by
applying conditional logistic regression, adjusted for
potential confounding factors such as comorbidities and
polypharmacy.Regular AED use was more frequent in
individuals with dementia than controls. Regular use of AEDs
was associated with a significantly greater risk of incident
dementia (adjusted OR=1.28, $95\%$ confidence interval
(CI)=1.14-1.44) and AD (adjusted OR=1.15, $95\%$
CI=1.09-1.22) than no AED use. We also detected a trend
toward greater risk of dementia with higher exposure. When
AEDs with and without known cognitive adverse effects (CAEs)
were compared, a significantly greater risk of dementia was
observed for substances with known CAEs (dementia: OR=1.59,
$95\%$ CI=1.36-1.86; AD: OR=1.19, $95\%$ CI=1.11-1.27).AEDs,
especially those with known CAEs, may contribute to incident
dementia and AD in older persons.},
keywords = {Aged / Aged, 80 and over / Anticonvulsants: adverse effects
/ Anticonvulsants: therapeutic use / Case-Control Studies /
Cognition / Comorbidity / Correlation of Data / Dementia:
diagnosis / Dementia: epidemiology / Female / Finland:
epidemiology / Geriatric Assessment: methods / Germany:
epidemiology / Humans / Insurance Claim Review: statistics
$\&$ numerical data / Male / Registries: statistics $\&$
numerical data / Risk Factors / Anticonvulsants (NLM
Chemicals)},
cin = {AG Hänisch / U Clinical Researchers - Bonn},
ddc = {610},
cid = {I:(DE-2719)1013010 / I:(DE-2719)7000001},
pnm = {344 - Clinical and Health Care Research (POF3-344) / 345 -
Population Studies and Genetics (POF3-345)},
pid = {G:(DE-HGF)POF3-344 / G:(DE-HGF)POF3-345},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:29566430},
doi = {10.1111/jgs.15358},
url = {https://pub.dzne.de/record/140088},
}