Table. Demographic and Clinical Characteristics by Anticoagulant Use.
Characteristic | No. (%) | Adjusted OR (95% CI) | |
---|---|---|---|
Anticoagulation in the last 6 mo of life (n = 5033) | No anticoagulation in the last 6 mo of life (n = 10 184) | ||
Age (overall), y | |||
<80 | 785 (15.6) | 1142 (11.2) | 1 [Reference] |
80 to 89 | 2560 (50.9) | 4541 (44.6) | 0.82 (0.74-0.92) |
≥90 | 1688 (33.5) | 4501 (44.2) | 0.59 (0.52-0.66) |
Female sex | 3259 (64.8) | 7125 (70.0) | 0.88 (0.81-0.95) |
Race/ethnicity | |||
White | 4325 (85.9) | 8839 (86.8) | 1 [Reference] |
Black | 473 (9.4) | 861 (8.5) | 0.97 (0.85-1.10) |
Asian | 77 (1.5) | 173 (1.7) | 0.80 (0.60-1.07) |
Hispanic | 101 (2.0) | 208 (2.0) | 0.97 (0.75-1.25) |
Other/missinga | 57 (1.1) | 103 (1.0) | 1.06 (0.75-1.50) |
Non-Medicaid status | 1916 (38.1) | 3287 (32.3) | 1.59 (1.45-1.69) |
>1 y in nursing home | 2154 (42.8) | 2399 (23.6) | 2.68 (2.48-2.89) |
CHA2DS2VASC scoreb | |||
<4 | 681 (13.5) | 1661 (16.3) | 1 [Reference] |
5-6 | 1914 (38.0) | 4242 (41.7) | 1.10 (0.99-1.23) |
>7 | 2438 (48.4) | 4281 (42.0) | 1.38 (1.23-1.54) |
ATRIA scorec | |||
<3 | 796 (15.8) | 2205 (21.7) | 1 [Reference] |
4-6 | 1690 (33.6) | 3584 (35.2) | 1.19 (1.07-1.32) |
>7 | 2547 (50.6) | 4395 (43.2) | 1.25 (1.13-1.39) |
Other clinical factors | |||
Rejection of care | 454 (9.0) | 844 (8.3) | 1.03 (0.91-1.17) |
Falls | 1690 (33.6) | 3214 (31.6) | 1.04 (0.96-1.12) |
Weight loss | 1856 (37.0) | 3363 (33.5) | 1.09 (1.01-1.18) |
Pressure ulcer | 2052 (40.8) | 3228 (31.7) | 1.37 (1.27-1.48) |
Difficulty swallowing | 1136 (22.6) | 2008 (19.8) | 1.12 (1.02-1.22) |
Restraint use | 189 (3.8) | 433 (4.3) | 0.79 (0.66-0.95) |
Hospice use | 1296 (25.8) | 3375 (33.1) | 0.76 (0.70-0.83) |
Abbreviation: OR, odds ratio.
Other includes American Indian, Alaskan Native, Native Hawaiian, or Pacific Islander.
The CHA2DS2VASC score predicts annual stroke risk among persons with atrial fibrillation using the following risk factors: congestive heart failure, hypertension, age [>65 years = 1 point; >75 years = 2 points], diabetes, previous stroke or transient ischemic attack [2 points], and vascular disease.
The ATRIA (Anticoagulation and Risk Factors In Atrial Fibrillation) bleeding risk score predicts annual bleeding risk among persons anticoagulated for atrial fibrillation using the following risk factors: age ≥75 years (2 points), anemia (3 points), renal disease (3 points), prior bleeding (1 point), and hypertension (1 point).