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Table 4 Risk of a cerebrovascular event in patients with atrial fibrillation considering comorbidity (Cox regression analysis, n = 1830)

From: Association between atrial fibrillation, anticoagulation, risk of cerebrovascular events and multimorbidity in general practice: a registry-based study

 

Bivariate

P value

Multivariable

P value

 

HR (95 % CI)

HR 95 % CI

Age (years)a

1.06 (1.03–1.08)

<0.001

1.05 (1.03–1.07)

<0.001

Men

0.82 (0.61–1.1)

0.19

1.1 (0.76–1.5)

0.74

Comorbiditya

    

 CHADS2 scoreb

1.7 (1.5–1.9)

<0.001

1.5 (1.3–1.7)c

<0.001

 CHA2DS2-VASc scoreb

1.5 (1.3–1.6)

<0.001

1.4 (1.2–1.6)d

<0.001

 Charlson Comorbidity Indexb

1.3 (1.2–1.4)

<0.001

1.1 (0.97–1.2)c

0.14

  Myocardial infarction

0.87 (0.54–1.4)

0.55

0.64 (0.39–1.0)

0.075

  Heart failure

1.2 (0.75–1.8)

0.48

0.90 (0.57–1.4)

0.65

  Peripheral vascular disease

1.9 (1.2–2.9)

0.006

1.5 (0.94–2.3)

0.093

  Cerebrovascular event

5.6 (4.1–7.5)

<0.001

5.2 (3.8–7.2)

<0.001

  Dementia

1.9 (0.93–3.8)

0.081

1.0 (0.48–2.1)

0.99

  Chronic pulmonary disease

0.24 (0.034–1.7)

0.16

0.17 (0.024–1.2)

0.081

  History of peptic ulcers

0.83 (0.46–1.5)

0.53

0.74 (0.41–1.3)

0.32

  Liver disease

1.6 (0.82–3.1)

0.17

1.4 (0.69–2.8)

0.36

  Diabetes

1.2 (0.80–1.7)

0.44

1.3 (0.87–1.9)

0.21

  Hemiplegia

1.6 (0.61–4.4)

0.32

0.63 (0.23–1.8)

0.38

  Renal disease

1.4 (1.2–1.7)

<0.001

1.3 (1.1–1.6)

0.006

  History of tumours

1.3 (0.90–2.0)

0.15

1.1 (0.74–1.7)

0.59

  Leukaemia

3.3 (0.46–24)

0.23

3.1 (0.42–23)

0.27

  Lymphoma

0.049 (0.0–2923)

0.59

0.0 (0.0–5.0 × e261)

0.96

 Hypertension

0.98 (0.73–1.3)

0.92

0.94 (0.69–1.3)

0.69

 Valve disease

0.89 (0.53–1.5)

0.65

0.81 (0.48–1.4)

0.44

  1. aAll variables were recorded at baseline (= date of the diagnosis of atrial fibrillation for the case); b, per point increase; c, adjusted for age, gender, valve disease and CHADS2 or Charlson Comorbidity index; d, adjusted for age, valve disease and Charlson Comorbidity index (the correlation coefficient between the CHADS2 and the CHA2DS2-VASc score was 0.91)
  2. HR hazard ratio, CI confidence interval, ACE angiotensin-converting enzyme, ARB angiotensin receptor blocker