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. 2019 Apr 25;8(9):e012029. doi: 10.1161/JAHA.119.012029

Table 3.

Event Rate and Risk of IS/SE, Bleeding, and Death in Anticoagulated Patients With AF

Variable Event Rate/100 Person‐Years Crude Data Adjusted Dataa Competing Riskb
NOAC Users (n=4793) Warfarin Users (n=2894) HR (95% CI) P Value Adjusted hazard ratios (95% CI) P Value Adjusted hazard ratios (95% CI) P Value
Hemoglobin ≥10 g/dL (n=7687)
IS/SE 5.10 6.67 0.62 (0.55–0.69) <0.001 0.75 (0.66–0.85) <0.001 0.74 (0.65–0.84) <0.001
Major bleeding 7.35 12.36 0.46 (0.42–0.51) <0.001 0.53 (0.48–0.59) <0.001 0.52 (0.46–0.58) <0.001
Gastrointestinal tract bleeding 4.27 5.76 0.58 (0.51–0.65) <0.001 0.69 (0.60–0.78) <0.001 0.67 (0.59–0.77) <0.001
Death 3.06 2.97 0.95 (0.81–1.10) 0.492 1.05 (0.89–1.23) 0.576
Hemoglobin <10 g/dL (n = 669)
IS/SE 7.29 8.30 0.59 (0.41–0.86) 0.006 0.71 (0.47–1.06) 0.106 0.64 (0.42–0.97) 0.035
Major bleeding 7.61 14.27 0.37 (0.25–0.52) <0.001 0.41 (0.28–0.60) <0.001 0.40 (0.28–0.59) <0.001
Gastrointestinal tract bleeding 3.76 7.18 0.37 (0.24–0.58) <0.001 0.42 (0.26–0.68) <0.001 0.41 (0.25–0.67) <0.001
Death 8.10 5.94 1.07 (0.73–1.56) 0.743 1.11 (0.74–1.68) 0.643

AF indicates atrial fibrillation; HR, hazard ratio; IS, ischemic stroke; NOAC, non–vitamin K antagonist oral anticoagulant; SE, systemic embolism.

a

IS/SE or death, adjusted for age, sex, hypertension, diabetes mellitus, history of heart failure, estimated glomerular filtration rate <60 mL/min per 1.73 m2, cancer, vascular disease, history of stroke, statins, hypertension medications, and antiplatelets; major bleeding or gastrointestinal tract bleeding, adjusted for age, sex, hypertension, diabetes mellitus, chronic liver disease, history of heart failure, estimated glomerular filtration rate <60 mL/min per 1.73 m2, cancer, history of peptic ulcer disease, history of bleeding, history of stroke, nonsteroidal anti‐inflammatory drug, proton pump inhibitors, and antiplatelets.

b

Death was considered as a competing risk factor in the Cox model.