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.