Table 2

Fractures and other adverse effects in patients taking oral corticosteroids compared with the control population

Steroid patients (%) Control group (%) No of case control sets Unadjusted odds ratio (95% CI) p value2-150
Fractures
 Any “osteoporotic” fracture23.214.73671.8 (1.3 to 2.6)<0.001
 2 or more fractures7.43.13672.5 (1.4 to 4.4)0.003
 Vertebrae4.10.436710.0 (2.9 to 34.5)<0.001
 Hip1.60.33676.0 (1.2 to 29.7)0.03
 Ribs/sternum5.41.83673.2 (1.6 to 6.6)0.001
 Wrist5.76.13670.9 (0.5 to 1.6)0.8
 Upper limb (not wrist)4.42.03672.1 (1.1 to 4.3)0.04
 Lower limb5.74.53671.3 (0.7 to 2.3)0.4
 Clavicle/scapula1.41.43671.0 (0.3 to 2.9)1.0
Symptoms
 Back pain in past year54.348.23621.3 (1 to 1.7)0.05
 Bruising72.910.936221.9 (13.9 to 34.5)<0.001
 Muscle weakness 59.819.33606.7 (4.8 to 9.3)<0.001
 Height loss of >2.5cm (since age 25)37.626.33671.7 (1.3 to 2.2)<0.001
Diagnosis of:
 Cataracts18.48.63652.6 (1.8 to 3.9)<0.001
 Diabetes6.54.63641.4 (0.8 to 2.5)0.2
 Hypertension17.823.53560.7 (0.5 to 1.0)0.05
 Oral candidiasis29.72.736415.5 (8.7 to 27.6)<0.001
 Use of H2 antagonists22.67.83673.5 (2.4 to 5.1)<0.001
 Shingles (since respiratory diagnosis)12.59.43671.4 (0.94 to 2.1)0.1
Teeth (none)51.238.83631.8 (1.4 to 2.4)<0.001
  • 2-150 Obtained by conditional logistic regression.