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Table 8 Comorbidities and current drug use significantly associated with hemorrhagic stroke, UGIB and LGIB

From: Risk of bleeding after hospitalization for a serious coronary event: a retrospective cohort study with nested case-control analyses

 

Cases

n (%)

Controls

n (%)

Odds ratioa

(95 % CI)

P value

Hemorrhagic stroke (n = 70)

 Comorbiditiesb

  History of hemorrhagic stroke

4 (5.7)

5 (0.5)

23.35 (5.11–106.73)

<0.01

   ≥ 1 hospitalization in the year before index datec

35 (50.0)

282 (28.2)

1.93 (1.06–3.49)

0.03

 Current drug used

  Diuretics

21 (30.0)

376 (37.6)

0.52 (0.28–0.99)

0.05

  NSAIDs

9 (12.9)

70 (7.0)

2.53 (1.12–5.68)

0.03

UGIB (n = 152)

 Comorbiditiesb

  Complicated peptic ulcer disease

15 (9.9)

27 (2.7)

3.71 (1.76–7.84)

<0.01

  Uncomplicated peptic ulcer disease

28 (18.4)

97 (9.7)

1.71 (1.02–2.86)

0.04

  Valvular heart disease

22 (14.5)

50 (5.0)

3.73 (1.95–7.11)

<0.01

   ≥ 1 hospitalization in year before index datec

84 (55.3)

262 (26.2)

2.50 (1.62–3.86)

<0.01

 Current drug used

  NSAIDs

23 (15.1)

80 (8.0)

2.25 (1.27–3.96)

0.01

  PPIs

68 (44.7)

316 (31.6)

1.62 (1.06–2.47)

0.03

LGIB (n = 316)

 Comorbiditiesa

  Pancreatic disease

4 (1.3)

8 (0.4)

4.49 (1.20–16.74)

0.03

  Unstable angina

75 (23.7)

283 (14.1)

1.86 (1.25–2.77)

<0.01

  Dyspepsia

104 (32.9)

390 (19.5)

1.64 (1.23–2.18)

<0.01

  Diabetes mellitus

46 (14.6)

343 (17.2)

0.62 (0.43–0.88)

0.01

   ≥ 1 hospitalization in year before index datec

142 (44.9)

575 (28.7)

1.33 (0.98–1.79)

0.06

 Current drug used

  Calcium-channel blockers

112 (35.4)

544 (27.2)

1.34 (1.02–1.75)

0.03

  NSAIDs

39 (12.3)

167 (8.3)

1.52 (1.02–2.25)

0.04

  PPIs

147 (46.5)

621 (31.1)

1.60 (1.22–2.10)

<0.01

  1. ASA acetylsalicylic acid, CI confidence interval, DVT deep vein thrombosis, LGIB lower gastrointestinal bleeding, NSAID non-steroidal anti-inflammatory drug, PCP primary care physician, PPI proton pump inhibitor, UGIB upper gastrointestinal bleeding
  2. aAdjusted according to age, sex, calendar year, length of follow-up, health services utilization (PCP visits, referrals and hospitalizations), smoking, type of coronary event, history of peptic ulcer disease and use of PPIs, ASA, clopidogrel, NSAIDs and warfarin
  3. bRelative to absence of the respective comorbidity
  4. cRelative to none
  5. dRelative to non-use