Table 1.
Proportion of Cases and Controls Exposed 2 Months Before Bleed Date or Match Date
| Controls, n | Exposed, % | Cases, n | Exposed, % | |
|---|---|---|---|---|
| Charlson Indexa | ||||
| No comorbidity | 30,194 | 37.0 | 3440 | 21.0 |
| Single comorbidity | 18,714 | 22.9 | 3222 | 19.7 |
| Multiple or severe | 32,728 | 40.1 | 9693 | 59.3 |
| Gastrointestinal | ||||
| Cirrhosis—none coded | 81,385 | 99.7 | 16,004 | 97.9 |
| Cirrhosis only | 65 | 0.1 | 63 | 0.4 |
| Cirrhosis—varices | 62 | 0.1 | 65 | 0.4 |
| Cirrhosis—ascites | 86 | 0.1 | 172 | 1.1 |
| Cirrhosis—encephalopathy | 38 | 0.0 | 51 | 0.3 |
| Gastritis, duodenitis, or esophagitis | 7904 | 9.7 | 3051 | 18.7 |
| Peptic ulcer | 3830 | 4.7 | 1852 | 11.3 |
| Helicobacter pylori | 1964 | 2.4 | 609 | 3.7 |
| Angiodysplasia | 14 | 0.0 | 6 | 0.0 |
| Mallory-Weiss syndrome | 34 | 0.0 | 96 | 0.6 |
| Crohn's disease | 222 | 0.3 | 114 | 0.7 |
| GI cancer | 2494 | 3.1 | 1174 | 7.2 |
| Lifestyle | ||||
| Alcohol—not coded | 61,536 | 75.4 | 11,026 | 67.4 |
| Alcohol—nondrinker | 1485 | 1.8 | 375 | 2.3 |
| Alcohol—ex-drinker | 176 | 0.2 | 64 | 0.4 |
| Alcohol—mentioned | 4317 | 5.3 | 977 | 6.0 |
| Alcohol—over limits | 14,073 | 17.2 | 3763 | 23.0 |
| Alcohol—complications | 49 | 0.1 | 150 | 0.9 |
| Smoking—not coded | 51,751 | 63.4 | 9187 | 56.2 |
| Smoking—nonsmoker | 11,666 | 14.3 | 2332 | 14.3 |
| Smoking—ex-smoker | 4075 | 5.0 | 888 | 5.4 |
| Smoking—passive | 5574 | 6.8 | 1455 | 8.9 |
| Smoking—current | 8570 | 10.5 | 2493 | 15.2 |
| Medications | ||||
| Aspirin | 18,079 | 22.1 | 5392 | 33.0 |
| NSAIDs | 12,722 | 15.6 | 3820 | 23.4 |
| COX II inhibitors | 1687 | 2.1 | 605 | 3.7 |
| Clopidogrel | 1297 | 1.6 | 668 | 4.1 |
| Oral steroids | 4135 | 5.1 | 1578 | 9.6 |
| Anticoagulants | 3799 | 4.7 | 1617 | 9.9 |
| SSRIs | 4813 | 5.9 | 2025 | 12.4 |
| Other diagnoses | ||||
| Aortic stenosis | 782 | 1.0 | 350 | 2.1 |
| Repair of AAA | 307 | 0.4 | 115 | 0.7 |
| Dialysis | 70 | 0.1 | 88 | 0.5 |
| Confounders | ||||
| Previous upper GI procedure | 10,471 | 12.8 | 3438 | 21.0 |
| PPI | 10,909 | 13.4 | 4585 | 28.0 |
| Age (median and interquartile range) | 73 | 57–82 | 72 | 57–81 |
AAA, Abdominal aortic aneursym; SSRI, selective serotonin reuptake inhibitors.
Nongastrointestinal comorbidity is catogorized as: Charslon Index = 0 is no comorbidity, Charlson Index = 1 single or comorbidity, and Charlson Index = 2 is multiple or severe comorbidity.