Table 2. Association Between Discharge Oral Anticoagulants and Clinical Outcomes.
Outcomes | Events, No. (Events per 100 Patient-Years, No.) | P Value | |||
---|---|---|---|---|---|
Direct Oral Anticoagulants (n = 4041) | Warfarin (n = 7621) | Unadjusted Hazard Ratio (95% CI) | Adjusted Hazard Ratio (95% CI) | ||
Primary Outcomes | |||||
Home time during the first year postdischarge, d | |||||
Median (IQR) | 348 (259-365) | 331 (201-360) | 27.5 (20.5-34.6)a | 15.6 (9.0-22.1)a | <.001 |
Mean (SD) | 287.2 (114.7) | 263.0 (127.3) | |||
Major adverse cardiovascular events | 1930 (34.0) | 4476 (40.4) | 0.82 (0.76-0.87)b | 0.89 (0.83-0.96)b | <.001 |
Secondary Outcomesc | |||||
Mortality | |||||
All-cause | 1183 (15.8) | 3028 (19.6) | 0.78 (0.73-0.84) | 0.88 (0.82-0.95) | <.001 |
Fatal bleedingd | 59 (0.8) | 164 (1.1) | 0.71 (0.53-0.93) | 0.84 (0.63-1.12) | .23 |
Readmission | |||||
All-cause | 2353 (53.1) | 5052 (62.4) | 0.84 (0.80-0.88) | 0.93 (0.88-0.97) | .003 |
Cardiovascular | 1267 (22.3) | 2770 (25.0) | 0.86 (0.81-0.92) | 0.92 (0.86-0.99) | .02 |
Ischemic stroke | 380 (5.6) | 770 (5.6) | 0.97 (0.86-1.09) | 1.01 (0.89-1.14) | .91 |
Systemic embolism | 42 (0.6) | 100 (0.7) | 0.84 (0.58-1.21) | 0.95 (0.66-1.38) | .80 |
Hemorrhagic stroke | 54 (0.8) | 151 (1.0) | 0.69 (0.51-0.93) | 0.69 (0.50-0.95) | .02 |
Gastrointestinal bleeding | 367 (5.4) | 714 (5.1) | 1.01 (0.90-1.15) | 1.14 (1.01-1.30) | .03 |
Any bleedinge | 728 (11.4) | 1717 (13.4) | 0.82 (0.75-0.89) | 0.89 (0.81-0.97) | .009 |
Negative outcome control | |||||
Pneumoniaf | 546 (8.1) | 1256 (9.2) | 0.85 (0.77-0.93) | 0.96 (0.87-1.06) | .40 |
Sepsisf | 481 (7.0) | 1151 (8.3) | 0.81 (0.73-0.90) | 0.95 (0.85-1.06) | .37 |
Abbreviation: IQR, interquartile range.
Differences with 99% CIs; all other values are reported as hazard ratios.
Hazard ratios with 99% CIs (all secondary outcomes are reported with 95% CIs).
All secondary outcomes are reported as hazard ratios with 95% CIs.
Rehospitalization for bleeding with in-hospital mortality.
Rehospitalization for bleeding.
Either primary or secondary diagnoses.