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 | |