Table 4.
Variables |
OAC use (vs no OAC) |
DOAC use (vs warfarin) |
||
---|---|---|---|---|
OR (95% CI) | p value | OR (95% CI) | p value | |
Age group | ||||
18–64 years | ref | ref | ref | ref |
65–74 years | 1.41 (1.37, 1.46) | <0.0001 | 1.06 (1.00, 1.11) | 0.0436 |
75 + years | 1.51 (1.46, 1.56) | <0.0001 | 0.85 (0.81, 0.90) | <0.0001 |
Gender | ||||
Female | ref | ref | ref | ref |
Male | 1.03 (1.01, 1.04) | 0.0006 | 0.81 (0.79, 0.83) | <0.0001 |
Health plan | ||||
Commercial | ref | ref | ref | ref |
Medicare Advantage | 0.91 (0.89, 0.94) | <0.0001 | 0.47 (0.44, 0.49) | <0.0001 |
CHA2DS2-VASc components | ||||
Heart failure | 1.02 (1.00, 1.04) | 0.0184 | 0.62 (0.60, 0.63) | <0.0001 |
Diabetes mellitus | 1.07 (1.05, 1.08) | <0.0001 | 0.92 (0.90, 0.94) | <0.0001 |
Thromboembolism | 1.07 (1.04, 1.10) | <0.0001 | 0.88 (0.84, 0.92) | <0.0001 |
CAD or PAD | 0.87 (0.85, 0.88) | <0.0001 | 0.84 (0.82, 0.86) | <0.0001 |
HAS-BLED components | ||||
CKD | 0.89 (0.87, 0.91) | <0.0001 | 0.96 (0.93, 0.98) | 0.0015 |
Stroke | 1.03 (1.00, 1.07) | 0.0557 | 0.90 (0.85, 0.94) | <0.0001 |
Anemia/Major bleed | 0.83 (0.82, 0.85) | <0.0001 | 0.86 (0.84, 0.88) | <0.0001 |
Liver disease | 0.88 (0.86, 0.90) | <0.0001 | 1.21 (1.17, 1.25) | <0.0001 |
Alcoholism | 0.82 (0.79, 0.84) | <0.0001 | 1.21 (1.14, 1.28) | <0.0001 |
Antiplatelets/NSAIDs | 0.75 (0.74, 0.77) | <0.0001 | 1.86 (1.80, 1.93) | <0.0001 |
Other comorbidities | ||||
Falls | 0.74 (0.73, 0.75) | <0.0001 | 1.02 (0.99, 1.05) | 0.2745 |
Obesity | 1.32 (1.30, 1.34) | <0.0001 | 1.26 (1.23, 1.29) | <0.0001 |
Intervention | ||||
Catheter ablation/surgical ablation/MAZE | 0.89 (0.84, 0.95) | 0.0005 | 1.03 (0.95, 1.12) | 0.5133 |
Cardioversion | 2.14 (2.07, 2.22) | <0.0001 | 0.92 (0.88, 0.96) | 0.0001 |
Implanted device | 1.18 (1.15, 1.20) | <0.0001 | 0.72 (0.69, 0.74) | <0.0001 |
Concurrent medication | ||||
Amiodarone/other AADs | 1.04 (1.02, 1.06) | 0.0006 | 0.67 (0.64, 0.69) | <0.0001 |
Multivariable model assessing the association of clinically relevant variables to oral anticoagulant use within the high-risk group.
Abbreviations: coronary artery disease (CAD); peripheral artery disease (PAD); chronic kidney disease (CKD); antiarrhythmic drug (AAD).