Table 2 Association between baseline characteristics and choice of reduced dose at first prescription in 927,523 NOAC treatments in AIFA Registry (2013–2018).
OR (95% CI) Dabigatran | OR (95% CI) Rivaroxaban | OR (95% CI) Apixaban | OR (95% CI) Edoxaban | |
---|---|---|---|---|
Sex—Females vs Males | 1.25 (1.19–1.31) | 1.25 (1.21–1.29) | 1.47 (1.42–1.52) | 1.82 (1.7–1.95) |
≥ 65 and < 75 vs < 65 years | 1.8 (1.69–1.91) | 1.74 (1.63–1.85) | 1.57 (1.46–1.7) | 2.05 (1.82–2.32) |
≥ 75 and < 85 vs < 65 years | 12.42 (11.32–13.63) | 6.29 (5.81–6.82) | 7.42 (6.78–8.12) | 6.94 (5.91–8.14) |
≥ 85 vs < 65 years | 180.41 (160.24–203.13) | 24.82 (22.88–26.93) | 38.2 (34.86–41.86) | 32.78 (27.88–38.55) |
CHA2DS2-VASc Score1 vs 0 | 0.74 (0.63–0.87) | 1.22 (0.94–1.59) | 0.63 (0.47–0.85) | 1.21 (0.75–1.93) |
CHA2DS2-VASc Score2 vs 0 | 0.82 (0.69–0.98) | 1.73 (1.33–2.26) | 0.64 (0.48–0.87) | 1.37 (0.85–2.22) |
CHA2DS2-VASc Score 3 vs 0 | 0.96 (0.79–1.16) | 2.16 (1.64–2.84) | 0.72 (0.53–0.98) | 1.58 (0.96–2.61) |
CHA2DS2-VASc Score 4 vs 0 | 1.07 (0.85–1.33) | 2.45 (1.84–3.25) | 0.8 (0.58–1.1) | 1.71 (1.01–2.89) |
CHA2DS2-VASc Score 5 vs 0 | 1.14 (0.89–1.47) | 2.56 (1.9–3.45) | 0.81 (0.58–1.12) | 1.76 (1.01–3.07) |
CHA2DS2-VASc Score 6 + vs 0 | 1.34 (0.99–1.82) | 2.69 (1.96–3.69) | 0.84 (0.59–1.19) | 1.84 (1.01–3.37) |
HAS-BLED Score1 vs 0 | 1.28 (1.16–1.4) | 1.58 (1.37–1.82) | 1.56 (1.3–1.87) | 0.87 (0.72–1.07) |
HAS-BLED Score 2 vs 0 | 1.38 (1.25–1.52) | 1.77 (1.52–2.05) | 1.9 (1.58–2.28) | 0.91 (0.74–1.12) |
HAS-BLED Score 3 vs 0 | 1.32 (1.18–1.47) | 1.83 (1.57–2.14) | 2 (1.66–2.42) | 0.84 (0.67–1.05) |
HAS-BLED Score 4 + vs 0 | 1.04 (0.91–1.18) | 1.7 (1.44–2.01) | 1.91 (1.56–2.33) | 0.69 (0.54–0.9) |
Diabetes history vs None | 0.92 (0.88–0.96) | 0.98 (0.95–1.01) | 0.95 (0.92–0.99) | 0.94 (0.88–1.01) |
Hypertension history vs None | 0.88 (0.83–0.93) | 0.88 (0.84–0.92) | 0.74 (0.71–0.78) | 0.81 (0.75–0.88) |
Stroke/TIA/Thromboembolism history vs None | 0.85 (0.78–0.93) | 0.89 (0.84–0.95) | 0.88 (0.83–0.94) | 1 (0.88–1.14) |
Vascular disease history vs None | 1.29 (1.23–1.35) | 1.13 (1.09–1.17) | 1.2 (1.16–1.24) | 1.13 (1.06–1.22) |
CHF history vs None | 1.18 (1.12–1.24) | 1.35 (1.31–1.4) | 1.45 (1.4–1.49) | 1.4 (1.31–1.5) |
Alcohol use vs None | 0.74 (0.7–0.78) | 0.69 (0.65–0.72) | 0.61 (0.58–0.64) | 0.8 (0.73–0.87) |
Liver disease vs None | 1.57 (1.41–1.74) | 1.06 (0.96–1.17) | 1.35 (1.23–1.49) | 1.48 (1.22–1.78) |
Renal diseasea vs None | 3.23 (2.98–3.51) | 9.86 (9.33–10.41) | 6.26 (5.97–6.56) | 11.81 (10.66–13.08) |
Prior major bleeding or predisposition to bleeding vs None | 2.22 (2.12–2.33) | 1.53 (1.47–1.59) | 1.75 (1.69–1.82) | 1.81 (1.68–1.94) |
Labile INR vs No | 1.17 (1.12–1.22) | 1.04 (0.99–1.08) | 1.13 (1.08–1.19) | 1.1 (1–1.2) |
Prior anticoagulant treatment (AVK) vs None | 1.01 (0.98–1.04) | 0.83 (0.8–0.85) | 0.73 (0.7–0.75) | 0.8 (0.75–0.85) |
Medication usage predisposing to bleeding vs None | 2.09 (2.01–2.18) | 1.28 (1.24–1.33) | 1.14 (1.1–1.19) | 1.24 (1.15–1.32) |
Prior NOAC treatment (switch) vs None | 1.52 (1.42–1.62) | 1.6 (1.55–1.66) | 1.59 (1.54–1.64) | 1.98 (1.88–2.08) |