Duration since first Rx and number of prior Rx in previous yr# | LABA with ICS¶ | LABA without ICS¶ | LABA with SABA¶ | LABA without SABA¶ | SABA with other asthma drugs (without ICS or LABA) ¶ | SABA with ICS (without LABA) ¶ | ICS (without SABA or LABA) ¶ |
Death | |||||||
<3 months | 2.1 (1.7–2.6) | 2.4 (1.6–3.5) | 1.9 (1.5–2.5) | 2.7 (2.0–3.7) | 3.1 (2.8–3.5)+ | 2.8 (2.3–3.3)§ | 2.0 (1.5–2.8) |
3–12 months | 1.5 (1.2–1.8) | 1.3 (0.9–1.9) | 1.4 (1.1–1.7) | 1.4 (1.0–2.0) | 1.9 (1.7–2.1) | 1.8 (1.5–2.2)§ | 1.4 (1.0–1.8) |
≥1 yr | |||||||
<3 Rx | Reference | Reference | Reference | Reference | Reference | Reference | Reference |
3–6 Rx | 0.9 (0.7–1.1) | 0.8 (0.6–1.3) | 0.8 (0.6–1.0) | 1.0 (0.7–1.3) | 0.9 (0.8–1.1) | 0.9 (0.8–1.1) | 1.0 (0.9–1.3) |
7–12 Rx | 1.0 (0.8–1.2) | 1.0 (0.7–1.5) | 0.9 (0.7–1.1) | 1.1 (0.8–1.5) | 1.0 (0.9–1.1) | 1.1 (0.9–1.3) | 1.4 (1.1–1.6)ƒ |
≥13 Rx | 1.5 (1.2–1.9) | 1.5 (0.9–2.7) | 1.2 (0.9–1.6) | 1.6 (1.1–2.5) | 1.3 (1.1–1.5) | 1.5 (1.3–1.7) | 1.9 (1.4–2.7) |
Asthma death | |||||||
<3 months | 1.3 (0.6–3.2) | 1.1 (0.3–3.6) | 0.7 (0.3–1.8) | 3.9 (1.3–11.6) | |||
3–12 months | 1.0 (0.4–2.4) | 1.4 (0.5–3.9 | 1.5 (0.6–3.6) | 0.9 (0.2–3.8) | |||
≥1 yr | |||||||
<3 Rx | Reference | Reference | Reference | Reference | |||
3–6 Rx | 0.7 (0.3–1.6) | 0.7 (0.3–2.1) | 0.6 (0.3–1.4) | 1.3 (0.5–3.6) | |||
7–12 Rx | 1.0 (0.4–2.1) | 1.1 (0.4–3.0) | 1.3 (0.6–2.6) | 1.3 (0.5–3.3) | |||
≥13 Rx | 1.4 (0.5–3.7) | 1.4 (0.4–4.7) | 1.6 (0.7–3.7) | 2.4 (0.9–5.9) | |||
Hospitalisation (HES) | |||||||
<3 months | 0.9 (0.4–2.0) | 0.7 (0.2–2.5) | 0.8 (0.3–1.9) | 0.9 (0.2–3.7) | |||
3–12 months | 0.9 (0.4–2.0) | 0.6 (0.1–2.2) | 0.9 (0.4–1.9) | 0.7 (0.2–2.9) | |||
≥1 yr | |||||||
<3 Rx | Reference | Reference | Reference | Reference | |||
3–6 Rx | 0.7 (0.3–1.4) | 0.2 (0.03–0.8) | 0.3 (0.2–0.7) | 0.6 (0.2–2.0) | |||
7–12 Rx | 0.8 (0.4–1.6) | 0.2 (0.02–1.2) | 0.5 (0.2–1.0) | 0.4 (0.1–1.6) | |||
≥13 Rx | 0.9 (0.3–2.8) | 0.9 (0.1–7.5) | 0.7 (0.2–2.3) | ||||
GP visit for exacerbation | |||||||
<3 months | 0.7 (0.7–0.8) | 0.8 (0.7–1.0) | 0.9 (0.8–1.0) | 0.9 (0.8–1.0) | 0.7 (0.6–0.8)+ | 1.0 (0.9–1.1)§ | 0.8 (0.6–0.9) |
3–12 months | 0.9 (0.9–1.0) | 0.9 (0.8–1.1) | 1.0 (0.9–1.1) | 0.9 (0.8–1.0) | 1.1 (0.9–1.4) | 1.2 (1.1–1.3)§ | 0.8 (0.7–0.9)ƒ |
≥1 yr | |||||||
<3 Rx | Reference | Reference | Reference | Reference | Reference | Reference | Reference |
3–6 Rx | 1.1 (1.0–1.1)## | 0.9 (0.8–1.0)## | 1.0 (1.0–1.1) | 1.0 (0.9–1.1) | 1.4 (1.3–1.6)+ | 1.2 (1.1–1.3)§ | 1.0 (0.9–1.1) |
7–12 Rx | 1.2 (1.1–1.3)## | 0.9 (0.8–1.0)## | 1.2 (1.1–1.3) | 1.1 (1.0–1.3) | 1.9 (1.7–2.1)+ | 1.3 (1.2–1.4)§ | 1.2 (1.1–1.3) |
≥13 Rx | 1.5 (1.4–1.6)## | 1.0 (0.8–1.4)## | 1.4 (1.3–1.5) | 1.5 (1.3–1.8) | 2.9 (2.5–3.3)+ | 1.6 (1.5–1.7)§ | 1.7 (1.4–2.2)ƒ |
Data are presented as RR (95% CI), adjusted for age, sex, calendar year and comedication; no RRs could be estimated with small number of cases. Rx: prescription; LABA: long-acting β2-agonist; ICS: inhaled corticosteroid; SABA: short-acting β2-agonist; HES: hospital episode statistics; GP: general practioner. #: The classification of exposure characteristics was based on the main drug of interest in each column. ¶: “With” indicates concomitant prescribing (i.e. prescribing of both medications at the same date); “without” indicates no concomitant prescribing (i.e. no prescribing of the other medication at the same date or in the three months before). +: p<0.05 for each exposure characteristic of RR interaction between LABA and SABA with other asthma drugs but without ICS and LABA. §: p<0.05 for each exposure characteristic of RR interaction between LABA and SABA with ICS but without LABA. ƒ: p<0.05 for each exposure characteristic of RR interaction between LABA and ICS without SABA or LABA. ##: p<0.05 for each exposure characteristic of RR interaction between LABA with ICS and LABA without ICS.