Table 4.
Impact of adherence to antithrombotic therapy on risk of stroke (efficacy) and bleeding (safety) in patients without chronic liver disease. Adjusted hazard ratios (HRs) are reported.
A) Anticoagulant therapy | |||||
---|---|---|---|---|---|
Outcome = Ischaemic stroke |
|||||
HR | Lower CI | Upper CI | P value | ||
Time not taking medication | |||||
All patients | |||||
< 1 week | 1.00 (ref) | ||||
1 week to 1 month | 0.993 | 0.919 | 1.072 | 0.85 | |
1 to 3 months | 1.049 | 0.958 | 1.149 | 0.31 | |
3 to 6 months | 1.216 | 1.164 | 1.270 | < 0.0001 | |
> 6 months | 1.200 | 1.152 | 1.249 | < 0.0001 | |
CHA2DS2 VASc score 0-1 | |||||
< 1 week | 1.00 (ref) | ||||
1 week to 1 month | 1.272 | 0.944 | 1.715 | 0.11 | |
1 to 3 months | 1.246 | 0.858 | 1.810 | 0.25 | |
3 to 6 months | 1.349 | 1.123 | 1.619 | 0.0013 | |
> 6 months | 1.367 | 1.152 | 1.622 | < 0.0001 | |
CHA2DS2 VASc score 2 | |||||
< 1 week | 1.00 (ref) | ||||
1 week to 1 month | 0.998 | 0.785 | 1.269 | 0.99 | |
1 to 3 months | 1.091 | 0.810 | 1.469 | 0.57 | |
3 to 6 months | 1.435 | 1.254 | 1.642 | < 0.0001 | |
> 6 months | 1.367 | 1.202 | 1.555 | < 0.0001 | |
CHA2DS2 VASc score 3-4 | |||||
< 1 week | 1.00 (ref) | ||||
1 week to 1 month | 0.976 | 0.863 | 1.105 | 0.70 | |
1 to 3 months | 1.084 | 0.937 | 1.253 | 0.28 | |
3 to 6 months | 1.195 | 1.112 | 1.283 | < 0.0001 | |
> 6 months | 1.266 | 1.185 | 1.354 | < 0.0001 | |
CHA2DS2 VASc score 5-9 | |||||
< 1 week | 1.00 (ref) | ||||
1 week to 1 month | 1.011 | 0.900 | 1.137 | 0.85 | |
1 to 3 months | 1.020 | 0.891 | 1.168 | 0.77 | |
3 to 6 months | 1.154 | 1.082 | 1.231 | < 0.0001 | |
> 6 months | 1.183 | 1.115 | 1.255 | < 0.0001 | |
Outcome = Non-fatal bleeding |
|||||
---|---|---|---|---|---|
HR | Lower CI | Upper CI | P value | ||
Without CLD | |||||
Per 10% increase in adherence (PDC) | 1.079 | 1.017 | 1.144 | 0.012 |
B) Antiplatelet therapy | |||||
---|---|---|---|---|---|
Outcome = Ischaemic stroke |
|||||
HR | Lower CI | Upper CI | P value | ||
Time not taking medication | |||||
< 1 week | 1.00 (ref) | ||||
1 week to 1 month | 0.925 | 0.888 | 1.064 | 0.067 | |
1 to 3 months | 1.046 | 0.994 | 1.101 | 0.086 | |
3 to 6 months | 1.111 | 1.086 | 1.136 | < 0.0001 | |
> 6 months | 1.315 | 1.287 | 1.343 | < 0.0001 |
Outcome = Non-fatal bleeding |
|||||
---|---|---|---|---|---|
HR | Lower CI | Upper CI | P value | ||
Per 10% increase in adherence (PDC) | 1.183 | 1.144 | 1.224 | < 0.0001 |