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. 2014 May 9;9(5):e94420. doi: 10.1371/journal.pone.0094420

Table 2. Risk of stroke, TIA, MACE and major bleeding events during vitamin K-antagonist treatment stratified by renal function within the entire population.

Endpoint No. of events N/100 py (95% CI) Crude HR (95% CI) Adjusted HR (95% CI)
Stroke or TIA
No CKD 19 1.62(1.03–2.54) ref ref
Moderate CKD 15 1.20(0.71–1.99) 0.72(0.36–1.41) 0.70(0.35–1.41)
Severe CKD 11 4.24(2.30–7.53) 2.40(1.13–5.07) 2.75(1.25–6.05)
Overall MACE *
No CKD 36 3.48(2.51–4.80) ref ref
Moderate CKD 41 3.79(2.80–5.12) 1.06(0.68–1.67) 1.05(0.66–1.67)
Severe CKD 30 15.4(10.95–21.16) 3.78(2.31–6.19) 3.57(2.10–6.06)
Fatal MACE
No CKD 7 0.64(0.28–1.35) ref ref
Moderate CKD 12 1.05(0.58–1.85) 1.68(0.66–4.27) 1.64(0.64–4.17)
Severe CKD 4 1.67(0.50–4.38) 2.09(0.60–7.23) 1.92(0.55–6.67)
Overall major bleeding *
No CKD 46 4.45(3.34–5.89) ref ref
Moderate CKD 45 4.11(3.07–5.46) 0.91(0.60–1.37) 0.90(0.59–1.37)
Severe CKD 22 8.84(5.85–13.07) 1.88(1.13–3.14) 1.66(0.97–2.86)
Fatal bleeding
No CKD 9 0.83(0.41–1.59) ref ref
Moderate CKD 8 0.70(0.33–1.40) 0.85(0.33–2.21) 0.82(0.32–2.13)
Severe CKD 4 1.67(0.50–4.38) 1.62(0.49–5.33) 1.52(0.46–5.02)

Definitions: no-CKD  =  estimated glomerular filtration rate (eGFR) >60 ml/min, moderate CKD  =  eGFR 30–60 ml/min, severe CKD  =  eGFR <30 ml/min.

Abbreviations: CKD  =  chronic kidney disease, PY  =  patient years, CI  =  confidence interval, HR  =  hazard ratio, MACE  =  major adverse cardiovascular event, TIA  =  transient ischemic attack.

Reported incidences for patients with an eGFR 30–60 or eGFR >60 ml/min are influenced by sampling of patients matched for age and gender to those with an eGFR <30 ml/min.

* HR adjusted for age, gender, hypertension, the use of platelet-inhibitors, diabetes mellitus and congestive heart failure.

HR adjusted for age and gender. Further correcting resulted in non-converging coefficients.