Appendix Table 7.
Hospitalizations for upper gastrointestinal bleeding during warfarin treatment according to study population, PPI co-therapy, history of upper gastrointestinal bleeding risk factorsa, and concurrent use of antiplatelet drugs/NSAIDs. HR = adjusted hazard ratio, RD = adjusted rate difference per 10,000, CI = confidence interval.
a. Tennessee Medicaid | ||||||||
---|---|---|---|---|---|---|---|---|
No PPI Co-therapy | PPI Co-therapy | HR (95% CI) | RD (95% CI) | |||||
Person- years |
Hospital- izations |
Rate /10,000 |
Person- years |
Hospital- izations |
Rate /10,000 |
|||
No history risk factors | ||||||||
No concurrent antiplatelet drug/NSAID | 21,468 | 141 | 65.7 | 3,211 | 22 | 68.5 | 1.02 ( 0.64 - 1.61 ) | 1.1 ( -23.4 to 39.9 ) |
Concurrent antiplatelet drug/NSAID | 3,375 | 78 | 231.1 | 823 | 8 | 97.2 | 0.42 ( 0.20 - 0.87 ) | -134.4 ( -184.7 to -29.5 ) |
History risk factors | ||||||||
No concurrent antiplatelet drug/NSAID | 11,050 | 169 | 152.9 | 4,219 | 65 | 154.1 | 0.87 ( 0.64 - 1.19 ) | -19.3 ( -54.6 to 28.6 ) |
Concurrent antiplatelet drug/NSAID | 1,733 | 64 | 369.4 | 1,036 | 30 | 289.6 | 0.69 ( 0.44 - 1.08 ) | -115.4 ( -207.3 to 28.5 ) |
b. Medicare 5% Sample | ||||||||
No PPI Co-therapy | PPI Co-therapy | HR (95% CI) | RD (95% CI) | |||||
Person- years |
Hospital- izations |
Rate /10,000 |
Person- years |
Hospital- izations |
Rate /10,000 |
|||
No history risk factors | ||||||||
No concurrent antiplatelet drug/NSAID | 8,581 | 62 | 72.2 | 1,999 | 10 | 50.0 | 0.71 ( 0.36 - 1.39 ) | -21.3 ( -46.2 to 27.8 ) |
Concurrent antiplatelet drug/NSAID | 599 | 11 | 183.7 | 218 | 2 | 91.8 | 0.50 ( 0.11 - 2.24 ) | -92.7 ( -163.6 to 228.2 ) |
History risk factors | ||||||||
No concurrent antiplatelet drug/NSAID | 5,140 | 77 | 149.8 | 2,840 | 37 | 130.3 | 0.81 ( 0.54 - 1.22 ) | -28.5 ( -69.4 to 33.2 ) |
Concurrent antiplatelet drug/NSAID | 461 | 22 | 477.4 | 313 | 7 | 223.3 | 0.48 ( 0.20 - 1.13 ) | -250.6 ( -381.6 to 59.7 ) |
Risk factors: Peptic ulcer, gastritis, abdominal pain, blood in stool/GI bleeding, anemia