Table 4. Combination of atrial fibrillation and chronic kidney disease and risk of bleeding, ischemic stroke and mortality stratified for antithrombotic therapy.
ANTITHROMBOTIC USERS | ANTITHROMBOTIC NON-USERS | ||||||
---|---|---|---|---|---|---|---|
Atrial fibrillation | Chronic kidney disease | Number of events | *Adjusted HR (95%CI) | Number of events | *Adjusted HR (95%CI) | ||
BLEEDING | |||||||
No | No | N = 4,027 | 70 | 1 (ref) | N = 5,241 | 141 | 1 (ref) |
Yes | No | N = 60 | 2 | 1.4 (0.4–5.9) | N = 314 | 16 | 1.9 (1.1–3.3) |
No | Yes | N = 866 | 38 | 1.5 (1.0–2.4) | N = 1,561 | 78 | 1.5 (1.1–2.0) |
Yes | Yes | N = 59 | 14 | 4.0 (2.1–7.8) | N = 266 | 23 | 2.6 (1.7–4.2) |
ISCHEMIC STROKE | |||||||
No | No | N = 4,027 | 64 | 1 (ref) | N = 5,241 | 169 | 1 (ref) |
Yes | No | N = 60 | 3 | 2.8 (0.9–9.2) | N = 314 | 16 | 1.6 (0.9–2.6) |
No | Yes | N = 866 | 24 | 1.1 (0.7–1.8) | N = 1,561 | 99 | 1.7 (1.3–2.2) |
Yes | Yes | N = 59 | 10 | 3.8 (1.9–7.9) | N = 266 | 36 | 3.9 (2.6–5.7) |
MORTALITY | |||||||
No | No | N = 4,027 | 361 | 1 (ref) | N = 5,241 | 828 | 1 (ref) |
Yes | No | N = 60 | 6 | 0.8 (0.4–1.8) | N = 314 | 69 | 1.5 (1.2–2.0) |
No | Yes | N = 866 | 232 | 1.7 (1.4–2.0) | N = 1,561 | 515 | 1.4 (1.3–1.6) |
Yes | Yes | N = 59 | 50 | 3.1 (2.2–4.2) | N = 266 | 142 | 2.1 (1.8–2.6) |
Abbreviations: HR, hazard ratio; CI, confidence interval.
Notes:
*Adjusted: Hazard ratio adjusted for age, sex, body mass index, hypertension, stroke, myocardial infarction, peripheral arterial disease, heart failure, diabetes mellitus and hemoglobin levels.