Table 10:
Event Rates, Treatment Effects, and Severity: Ischemic Stroke, Systemic Embolism, and Transient Ischemic Attack
| Baseline Risk of Ischemic Stroke, Systemic Embolism, or Transient Ischemic Attack | |||
|---|---|---|---|
| CHA2DS2VASc Score | Annual Probability of Event | Standard Error | Source |
| 0 | 0.003 | 0.0006 | Friberg et al, 201250 |
| 1 | 0.009 | 0.0009 | Friberg et al, 201250 |
| 2 | 0.029 | 0.0013 | Friberg et al, 201250 |
| 3 | 0.046 | 0.0013 | Friberg et al, 201250 |
| 4 | 0.067 | 0.0015 | Friberg et al, 201250 |
| 5 | 0.100 | 0.0021 | Friberg et al, 201250 |
| 6 | 0.136 | 0.0030 | Friberg et al, 201250 |
| 7 | 0.157 | 0.0048 | Friberg et al, 201250 |
| 8 | 0.152 | 0.0080 | Friberg et al, 201250 |
| 9 | 0.174 | 0.0208 | Friberg et al, 201250 |
| Treatment Effects | |||
| Intervention:Comparator | Odds Ratio | Standard Error | Source |
| Warfarin:aspirin | 0.53 | 0.1291 | Aguilar et al, 200753 |
| LAAC device:warfarin | 1.56 | 0.3569 | PREVAIL, Holmes et al, 201420; PROTECT AF, Reddy et al, 201440 |
| Apixaban:warfarin | 0.92 | 0.1053 | ARISTOTLE, Granger et al, 201116 |
| Dabigatran 110 mg:warfarin | 1.09 | 0.1126 | RE-LY, Connolly et al, 200915 |
| Dabigatran 150 mg:warfarin | 0.78 | 0.1220 | RE-LY, Connolly et al, 200915 |
| Rivaroxaban:warfarin | 0.84 | 0.1107 | ROCKET AF, Patel et al, 201117 |
| Severity of Ischemic Stroke, Systemic Embolism, or Transient Ischemic Attack | |||
| Event and Severity | Proportion | Standard Error | Source |
| Systemic embolism | 0.149 | 0.0107 | Connolly et al, 200915; FDA, 201555; Granger et al, 201116; Patel et al, 201117 |
| Transient ischemic attack | 0.188 | 0.0375 | FDA, 201555 |
| Ischemic stroke | 0.663 | – | Calculation |
| Proportion of systemic embolisms that are: | |||
| Fatal | 0.247 | 0.0291 | Bekwelem et al, 201556 |
| Proportion of ischemic strokes that are: | |||
| Fatal | 0.144 | 0.0287 | Goeree et al, 200554 |
| Major | 0.016 | 0.0032 | Goeree et al, 200554 |
| Moderate | 0.729 | 0.1457 | Goeree et al, 200554 |
| Minor | 0.111 | 0.0223 | Goeree et al, 200554 |
Abbreviations: CHADS2DS2VASc, Congestive heart failure, Hypertension, Age ≥ 75 years (2 points), Diabetes mellitus, Stroke or transient ischemic attack symptoms previously (2 points), Vascular disease, Age 65–74 years, Sex category; LAAC device, left atrial appendage closure device with delivery system.