Table 2.
Prespecified time-varying covariates included in conditional Poisson regression models
Category | Subcategory | Component | Identification method |
---|---|---|---|
Drugs that can increase the risk of bleeding | Antiplatelet agentsa | abciximab, aspirin, cangrelor, cilostazol, clopidogrel, dipyridamole, eptifibatide, prasugrel, ticagrelor, ticlopidine, tirofiban, vorapaxar | NDC, dispensing date, days supplied |
NSAIDsa | celecoxib, diclofenac, diflunisal, etodolac, fenoprofen, flurbiprofen, ibuprofen, indomethacin, ketoprofen, ketorolac, meclofenamate, meloxicam, nabumetone, naproxen, oxaprozin, piroxicam, salsalate, sulindac, tolmetin | NDC, dispensing date, days supplied | |
SNRIsa | desvenlafaxine, duloxetine, levomilnacipran, milnacipran, venlafaxine | NDC, dispensing date, days supplied | |
SSRIsa | citalopram, escitalopram, fluoxetine, fluvoxamine, milnacipran, paroxetine, sertraline | NDC, dispensing date, days supplied | |
Drugs that can increase INR | CYP1A2 inhibitors | enoxacinb, gatifloxacinb, propranolola | NDC, dispensing date, days supplied |
CYP2C9 inhibitors | amiodaronea, amoxicillinb, co-trimoxazoleb, etravirinea, fluconazoleb, fluvoxaminea, metronidazoleb, miconazoleb, oxandrolonea, voriconazoleb | NDC, dispensing date, days supplied | |
CYP3A4 inhibitors | atorvastatina, azithromycinb, erythromycinb, gemfibrozila, prednisonea, propafenonea, rosuvastatina, simvastatina | NDC, dispensing date, days supplied | |
Drugs increasing vitamin K catabolisma | thyroid hormones (levothyroxine, liothyronine, liotrix) | NDC, dispensing date, days supplied | |
Drugs that can cause protein displacementa | phenytoin, sulfinpyrazone | NDC, dispensing date, days supplied | |
Drugs with unknown mechanism | acetaminophena, cefamandoleb, cefazolinb, quinidinea | NDC, dispensing date, days supplied | |
Drugs that can reduce INR | Inducers of drug metabolism | amobarbitala, carbamazepinea, cholestyraminea, griseofulvinb, phenobarbitala, propylthiouracila, rifampinb, secobarbitala | NDC, dispensing date, days supplied |
Major non-chronic condition that may affect bleeding risk | Acute infectionb | Acute infection identified at any position of discharge diagnosis on inpatient or outpatient claims | ICD-9-CM diagnosis codes, admission or service date |
Warfarin monitoring* | Therapeutic drug monitoring for warfarinc | INR testing/monitoring, prothrombin time testing/monitoring, identified at any-position of any claim-type procedure codes | CPT, HCPCSd |
Average daily dose of object drug* | Average daily dose of warfarine | Defined by [(quantity × strength) / (days supplied)] | NDC, dispensing date, days supplied, quantity, strength |
NDC: National Drug Code. NSAID: nonsteroidal anti-inflammatory drug. SNRI: serotonin and norepinephrine reuptake inhibitor. SSRI: selective serotonin reuptake inhibitor. INR: international normalized ratio. CYP: cytochrome P450 enzyme. ICD-9-CM: International Classification of Diseases 9th Revision Clinical Modification. CPT: Current Procedural Terminology. HCPCS: Healthcare Common Procedure Coding System.
Measured as a day-level binary variable indicating being dispensed on the current day (refers to each day during the observation time as current) or any time during the 31 days prior to the current day.
Measured as a day-level binary variable indicating being diagnosed on the current day or any time during the 15 days prior to the current day.
Measured as a day-level binary variable indicating warfarin monitoring conducted on the current day or any time during the 7 days prior to the current day.
CPT codes 99363, 99364, 3555F, 85610, 85611 and HCPCS codes G0249, G0250.
Measured as a day-level continuous variable on the current day, based on the prescription active on the current day. In the analysis controlling for warfarin average daily dose, while Medicare claims from Ohio were included, Medicaid claims from Ohio were excluded due to lack of information on days supplied.
Covariates additionally adjusted in the sensitivity analyses.