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. 2020 May;26(5):10.18553/jmcp.2020.26.5.639. doi: 10.18553/jmcp.2020.26.5.639
Warfarin Cohort (N = 125,257) Apixaban Cohort (N = 38,906) Dabigatran Cohort (N = 20,979) Rivaroxaban Cohort (N = 79,337)
n/mean %/SD n/mean %/SD n/mean %/SD n/mean %/SD
Age (years) 78.56 7.37 78.30 7.38 77.07 7.00 77.53 7.16
  65-74 41,678 33.27% 13,648 35.08% 8,585 40.92% 30,663 38.65%
  75-84 54,186 43.26% 16,470 42.33% 8,830 42.09% 33,772 42.57%
  ≥ 85 29,393 23.47% 8,788 22.59% 3,564 16.99% 14,902 18.78%
Gender
  Male 60,638 48.41% 18,438 47.39% 10,647 50.75% 38,518 48.55%
  Female 64,619 51.59% 20,468 52.61% 10,332 49.25% 40,819 51.45%
Geographic region
  Northeast 24,944 19.91% 7,110 18.27% 4,239 20.21% 14,298 18.02%
  North Central 38,533 30.76% 8,115 20.86% 4,882 23.27% 18,387 23.18%
  South 40,386 32.24% 17,383 44.68% 7,987 38.07% 32,912 41.48%
  West 21,241 16.96% 6,272 16.12% 3,837 18.29% 13,592 17.13%
  Other 153 0.12% 26 0.07% 34 0.16% 148 0.19%
Baseline comorbidity
  Charlson Comorbidity Index 3.10 2.76 2.70 2.55 2.46 2.40 2.58 2.49
  CHADS2 scorea 2.84 1.45 2.70 1.43 2.57 1.41 2.60 1.43
  CHA2DS2-VASc scoreb 4.71 1.75 4.55 1.73 4.35 1.71 4.43 1.72
  HAS-BLED scorec 3.29 1.30 3.23 1.24 3.07 1.21 3.17 1.23
  Baseline prior bleed 31,052 24.79% 7,921 20.36% 3,878 18.49% 16,932 21.34%
  Baseline prior stroke 19,297 15.41% 4,746 12.20% 2,377 11.33% 9,021 11.37%
  Congestive heart failure 43,374 34.63% 11,295 29.03% 5,753 27.42% 21,517 27.12%
  Diabetes 50,006 39.92% 13,884 35.69% 7,683 36.62% 28,152 35.48%
  Hypertension 108,611 86.71% 34,276 88.10% 18,152 86.52% 69,011 86.98%
  Renal disease 36,657 29.27% 9,175 23.58% 3,902 18.60% 16,045 20.22%
  Myocardial infarction 18,638 14.88% 4,906 12.61% 2,253 10.74% 9,400 11.85%
  Dyspepsia or stomach discomfort 26,535 21.18% 8,215 21.11% 4,049 19.30% 16,489 20.78%
  Peripheral vascular disease 69,381 55.39% 21,502 55.27% 10,762 51.30% 41,938 52.86%
  Transient ischemic attack 9,789 7.82% 3,044 7.82% 1,527 7.28% 5,829 7.35%
  Coronary artery disease 59,249 47.30% 18,698 48.06% 9,276 44.22% 35,963 45.33%
Follow-up time (days) 179.31 173.59 144.66 133.32 185.02 183.82 178.76 174.67
  Median 111 97 106 113
All-cause hospitalization incidence rate (per 100 person-years) 60.72 47.25 45.27 53.31
Stroke/SE incidence rate (per 100 person-years) 1.98 0.97 1.40 1.25
  Ischemic stroke 1.43 0.79 1.21 0.87
  Hemorrhage stroke 0.42 0.14 0.13 0.29
  SE 0.13 0.04 0.06 0.08
Major bleeding incidence rate (per 100 person-years) 6.56 3.64 4.18 6.30
  Gastrointestinal bleeding 3.12 1.83 2.58 3.53
  Intracranial hemorrhage 0.99 0.36 0.44 0.61
  Other bleeding 2.80 1.67 1.48 2.65
Follow-up all-cause health care costs ($ PPPM)
  All-cause ER/outpatient medical costs 1,826 8,058 1,145 5,333 1,301 6,081 1,645 7,310
  All-cause hospitalization medical costs 1,024 2,571 901 1,893 874 1,893 966 2,920
  Pharmacy costs 375 885 780 1,690 659 1,046 701 1,097
  All-cause health care costs 3,987 9,904 3,179 6,733 3,210 7,310 3,941 9,030

aCHADS2: congestive heart failure, hypertension, aged ≥ 75 years, diabetes mellitus, prior stroke, transient ischemic attack, or venous thromboembolism.

bCHA2DS2-VASc: congestive heart failure, hypertension, aged ≥ 75 years, diabetes mellitus, prior stroke or transient ischemic attack or thromboembolism, vascular disease, aged 65-74 years, sex category.

cHAS-BLED: hypertension, abnormal renal and liver function, stroke, bleeding, labile international normalized ratios, elderly, drugs and alcohol.

ER = emergency room; PPPM = per patient per month; PSM = propensity score matching; SD = standard deviation; SE = systemic embolism.