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. Author manuscript; available in PMC: 2020 Aug 1.
Published in final edited form as: Am J Hematol. 2019 Jun 12;94(8):862–870. doi: 10.1002/ajh.25508

Table 3:

Risk Factors associated with venous thromboembolism (VTE) recurrence and bleeding after incident VTE among California sickle cell disease (SCD) patients

VTE Recurrence Bleeding
Variables HR 95% CI P-Value HR 95% CI P-Value
Gender
 Female 1.23 (0.93, 1.62) 0.1458 1.00 (0.69, 1.44) 0.9988
 Male Ref - - Ref - -
Race/Ethnicity
 African-American Ref - - 0.84 (0.38, 1.83) 0.6549
 Non-African American 0.96 (0.55, 1.68) 0.8797 Ref - -
SCD Severity
 Less Severe Ref - - Ref - -
 More Severe SCD 2.33 (1.63, 3.32) <.0001 2.26 (1.41, 3.64) 0.0008
Incident VTE Year
 1991-2002 Ref - - Ref - -
 2003-2014 0.88 (0.67, 1.15) 0.3353 1.15 (0.80, 1.66) 0.4425
Age at Incident VTE
 <25 Ref - - Ref - -
 25-39 1.09 (0.81, 1.48) 0.5692 1.13 (0.72, 1.76) 0.6004
 40-54 0.89 (0.60, 1.31) 0.5489 1.51 (0.90, 2.56) 0.1218
 ≥55 0.50 (0.23, 1.06) 0.0721 2.35 (1.22, 4.55) 0.0110
Incident VTE Location
 PE Ref - - Ref - -
 DVT 1.78 (1.29, 2.46) 0.0005 1.07 (0.70, 1.63) 0.7482
 UE 1.07 (0.73, 1.55) 0.7399 1.24 (0.78, 1.97) 0.3691
Incident VTE Hospitalization Associated Status
 Yes 0.83 (0.61, 1.13) 0.2285 1.14 (0.78, 1.68) 0.4950
 No Ref - - Ref - -
Prior Bleeding
 Yes 1.24 (0.88, 1.75) 0.2235 1.04 (0.65, 1.66) 0.8755
 No Ref - - Ref - -
SCD Complication prior to outcome
*ONFH
   Yes 1.01 (0.76, 1.34) 0.9591 0.96 (0.67, 1.38) 0.8302
   No Ref - - Ref - -
*Ischemic Stroke
   Yes 1.23 (0.73, 2.07) 0.4298 1.24 (0.65, 2.39) 0.5170
   No Ref - - Ref - -
*Pneumonia/ACS
   Yes 1.73 (1.19, 2.50) 0.0037 1.01 (0.63, 1.61) 0.9697
   No Ref - - Ref - -

Multivariable Cox proportional hazard regression model adjusted for the competing risk of other outcome and death

*

SCD complications were included as time dependent covariates

PE- Pulmonary Embolism

DVT- Lower extremity deep vein thrombosis

UE- Upper extremity deep vein thrombosis

ONFH- osteonecrosis of the femoral head

ACS- Acute chest syndrome