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