Table 2.
Adjusted rates* and rate differences for thromboembolism (TE) and intracranial hemorrhage (ICH) by warfarin status
Risk Factor |
Risk Factor Level |
TE | ICH | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Off Warfarin | On Warfarin | Difference in Rate of TE† |
Off Warfarin | On Warfarin | Difference in Rate of ICH† |
||||||
PY | Annual Rate/100 |
PY | Annual Rate/100 |
PY | Annual Rate/100 |
PY | Annual Rate/100 |
||||
All Patients | All Patients | 32611 | 2.29 | 32130 | 1.25 | 1.04 | 32994 | 0.33 | 33415 | 0.57 | 0.24 |
Age Group | <65 | 7752 | 0.64 | 5006 | 0.59 | 0.05 | 7762 | 0.10 | 5122 | 0.30 | 0.20 |
65-74 | 8421 | 1.57 | 10131 | 0.98 | 0.59 | 8482 | 0.12 | 10379 | 0.44 | 0.32 | |
75-84 | 11116 | 2.80 | 13651 | 1.54 | 1.26 | 11317 | 0.43 | 14327 | 0.60 | 0.17 | |
≥ 85 | 5322 | 4.70 | 3342 | 1.84 | 2.86 | 5433 | 0.79 | 3587 | 1.14 | 0.35 | |
Sex | Male | 18649 | 1.70 | 18809 | 1.13 | 0.57 | 18781 | 0.32 | 19408 | 0.61 | 0.29 |
Female | 13962 | 3.09 | 13320 | 1.39 | 1.70 | 14214 | 0.34 | 14007 | 0.51 | 0.17 | |
Prior Stroke |
N | 31133 | 1.98 | 29232 | 1.09 | 0.89 | 30923 | 0.29 | 29286 | 0.51 | 0.22 |
Y | 1478 | 6.57 | 2897 | 3.46 | 3.11 | 2072 | 0.75 | 4128 | 1.16 | 0.42 | |
Hyper- tension |
N | 14307 | 1.73 | 12583 | 0.78 | 0.95 | 14406 | 0.30 | 12896 | 0.44 | 0.14 |
Y | 18304 | 2.68 | 19547 | 1.57 | 1.11 | 18589 | 0.35 | 20519 | 0.66 | 0.31 | |
CHF | N | 24090 | 1.84 | 20088 | 1.10 | 0.74 | 24320 | 0.29 | 20872 | 0.51 | 0.22 |
Y | 8521 | 3.28 | 12041 | 1.58 | 1.70 | 8674 | 0.42 | 12543 | 0.70 | 0.28 | |
Diabetes | N | 27395 | 2.06 | 25500 | 1.08 | 0.98 | 27625 | 0.32 | 26453 | 0.58 | 0.26 |
Y | 5216 | 3.29 | 6629 | 1.98 | 1.31 | 5369 | 0.38 | 6962 | 0.53 | 0.16 | |
CHADS2 Score* |
0 | 6143 | 0.37 | 3414 | 0.38 | (0.01) | 6133 | 0.05 | 3413 | 0.12 | 0.07 |
1 | 10262 | 1.19 | 9083 | 0.59 | 0.59 | 10191 | 0.22 | 9082 | 0.48 | 0.27 | |
2 | 9741 | 2.54 | 10810 | 1.26 | 1.28 | 9677 | 0.40 | 10897 | 0.61 | 0.20 | |
3 | 4761 | 3.89 | 5965 | 1.86 | 2.03 | 4835 | 0.64 | 6236 | 0.61 | (0.03) | |
4-6 | 1704 | 6.34 | 2857 | 3.25 | 3.08 | 2158 | 0.51 | 3787 | 1.08 | 0.57 |
All rates and rate differences, except those for CHADS2, strata are adjusted to account for the effects of the remaining risk factors listed in this table plus coronary artery disease (see METHODS). The rates presented for CHADS2 are stratum-specific crude rates, i.e., not adjusted further since these strata themselves are based on multivariable models.
Difference in Rate of TE = (TE rate off warfarin−TE rate on warfarin);
Difference in Rate of ICH= (ICH rate on warfarin −ICH rate off warfarin)
TE=thromboembolic event; ICH=intracranial hemorrhage; PY=person-years; CHF=congestive heart failure; CHADS2 is the acronym for the stroke risk scoring system for patients with atrial fibrillation where C=congestive heart failure, H=hypertension, A=age ≥75 years, D=diabetes, and S=prior stroke (risk factors C, H, A and D are given 1 point each, S is doubly weighted, hence S2).