Table 3.
Meta-Analysis of Standard-Dose NOACs vs Warfarin in RCTs39
Asians (n = 8,928) | Non-Asians (n = 64,033) | P Value for Interaction | |
---|---|---|---|
Efficacy endpoints | |||
Stroke/SE | 0.65 (0.52-0.83) | 0.85 (0.77-0.93) | 0.045 |
Ischemic stroke | 0.89 (0.87-1.17) | 0.95 (0.84-1.06) | 0.673 |
Hemorrhagic stroke | 0.32 (0.19-0.52) | 0.56 (0.44-0.70) | 0.046 |
Myocardial infarction | 0.97 (0.59-1.58) | 0.98 (0.82-1.12) | 0.977 |
All-cause death | 0.80 (0.65-0.98) | 0.91 (0.86-0.97) | 0.219 |
Safety endpoints | |||
Major bleeding | 0.57 (0.44-0.74) | 0.89 (0.76-1.04) | 0.004 |
Intracranial hemorrhage | 0.33 (0.22-0.50) | 0.52 (0.42-0.64) | 0.059 |
Gastrointestinal bleeding | 0.79 (0.48-1.31) | 1.44 (1.12-1.85) | 0.041 |
Values are HR (95% CI).
NOAC = non-vitamin K antagonist oral anticoagulant; RCT = randomized controlled trial; SE = systemic embolization.