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.