Meta-analyses of early primary prevention trials of lipid-lowering therapie
s suggested increased risk of injury deaths among treated persons. Our popu
lation-based case-control study examined the association of lipid-lowering
medication use with fatal and nonfatal injuries in 298 cases and 332 contro
ls. No increased injury risk was observed among current (OR = 0.46, 95% CI
0.18-1.21) or past users (OR = .92, 95% CI 0.44-1.95), after adjustment for
behavioral disorders, medical conditions, and health status. Stratified an
alyses did not reveal sub-groups at significantly increased risk. These res
ults, consistent with recent clinical trials and meta-analyses, suggest no
increased injury risk associated with lipid-lowering medications. (C) Elsev
ier Science, Inc.