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. 2022 Mar 22;24(11):1844–1871. doi: 10.1093/europace/euac020

Table 6.

 Summary of ‘stroke history’ as a risk factor for bleeding in AF patients receiving OACs

Study Subjects (n) Type of OACs Definition Main findings RR/HR (95% CI) P value
Pengo et al., 2001 433 VKA History of thromboembolism A higher frequency of major primary bleeding in patients who had suffered a previous thromboembolic event NR 0.03
Fang et al., 2004 1190 VKA History of cerebrovascular disease Prevalence of cerebrovascular disease in patients with or without ICH: 37% vs. 20% NR NR
Fang et al., 2011 9186 VKA Prior stroke Prevalence of prior stroke in patients with or without major bleeding: 17.4% vs. 12.4% HR 1.4 (1.1–1.9) 0.01
Hankey et al., 2014 14 264 VKA/rivaroxaban Previous stroke or TIA Previous stroke or TIA is an independent factor associated with ICH HR 1.42 (1.02–1.96) 0.036
Hylek et al., 2014 18 122 Apixaban/VKA Prior stroke/TIA/SE Rate of ISTH major haemorrhage was 18.9% in patients without history vs. 24.5% in those with history (apixaban) and 19.5% vs. 23.4% (warfarin). HR 1.23 (1.038–1.45) 0.016
O'Brien et al., 2015 7411 VKA/dabigatran Prior stroke Prevalence of prior stroke in patients with or without major bleeding: 13.1% vs. 9.2% NR NR

AF, atrial fibrillation; HR, hazard ratio; ICH , intra-cranial haemorrhage; NR, not reported; OACs, oral anticoagulants; OR, odds ratio; RR, relative risk; TIA, transient ischaemic attack; VKA, vitamin K antagonists.