Table 3.
Efficacy and safety outcomes for DOAC and warfarin use, stratified by polypharmacy status
Polypharmacy | DOAC | Warfarin | RR | I2 | P value | |
---|---|---|---|---|---|---|
Stroke | Yes | 339 (2.9%) | 410 (3.6%) | 0.90 [0.70–1.10] | 0% | 0.31 |
No | 142 (3.1%) | 161 (3.4%) | 0.82 [0.70–0.94] | |||
Death from any cause | Yes | 931 (8.0%) | 1012 (8.8%) | 0.92 [0.84–0.99] | 0% | 0.82 |
No | 254 (5.5%) | 289 (6.1%) | 0.90 [0.75–1.04] | |||
Major bleeding | Yes | 603 (5.2%) | 652 (5.7%) | 0.94 [0.64–1.24] | 85% | 0.15 |
No | 119 (2.6%) | 196 (4.1%) | 0.61 [0.29–0.93] | |||
Intracranial hemorrhage | Yes | 80 (0.7%) | 156 (1.4%) | 0.53 [0.18–0.87] | 69% | 0.99 |
No | 27 (0.6%) | 50 (1.1%) | 0.53 [0.11–0.94] | |||
CRNM bleed | Yes | 1081 (9.3%) | 1179 (10.3%) | 0.85 [0.56–1.14] | 90% | 0.62 |
No | 422 (9.1%) | 416 (8.8%) | 0.96 [0.64–1.27] | |||
Net clinical benefit * | Yes | 1265 (10.9%) | 1415 (12.3%) | 0.88 [0.82–0.95] | 4% | 0.43 |
No | 343 (7.4%) | 417 (8.9%) | 0.83 [0.71–0.95] |
*ARISTOTLE, stroke/SE/major bleed/death; ROCKET, stroke/SE/fatal bleed/vascular death