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Table 1 Characteristics of patients taking standard (150 mg) or reduced (75 mg) dose dabigatran

From: Characteristics and outcomes in patients with atrial fibrillation receiving direct oral anticoagulants in off-label doses

 

Reduced dose (75 mg twice daily)

Standard Dose (150 mg twice daily)

P-value

Total number of patients

1455

6580

 

Age Category, years

  

< 0.001

 65–69

7.1%

18.0%

 

 70 to 74

13.7%

26.8%

 

 75 to 79

18.8%

25.4%

 

 80 to 84

26.0%

18.1%

 

 85 to 89

16.8%

7.1%

 

 90 or over

17.5%

4.7%

 

Sex

  

< 0.001

 Female

56.3%

47.9%

 

 Male

43.7%

52.1%

 

Race Category

  

< 0.001

 White

84.1%

87.5%

 

 Black

10.2%

6.9%

 

 Hispanic

2.5%

1.7%

 

 Asian

1.4%

0.6%

 

 Other

1.9%

3.2%

 

 Smoking

14.0%

16.7%

0.01

 Alcohol use

2.0%

2.3%

< 0.001

Weight Category (based on ICD-9 and ICD-10 codes for BMI Category)

  

< 0.001

 Under-Weight

1.2%

0.6%

 

 Healthy or Overweight

10.1%

8.0%

 

 Obese or Severe Obese

20.1%

23.9%

 

 Not available

68.5%

67.5%

 

Comorbid Conditions

 Prior Stroke

26.8%

24.4%

0.06

 Prior major bleeding from Diagnosis

26.7%

24.5%

0.07

 Gastrointestinal bleeding

0

13.0%

0.24

 Cerebral bleeding

0

0.8%

0.7

 Diabetes

50.7%

48.9%

0.2

 Prior AMI

8.0%

5.2%

< 0.001

 Liver Disease

3.4%

2.6%

0.13

 Heart Failure

48.6%

31.3%

< 0.001

 Hypertension

96.0%

93.4%

< 0.001

 Ischemic cardiomyopathy

55.5%

48.0%

< 0.001

 Pulmonary

16.6%

11.4%

< 0.001

 COPD

36.4%

31.8%

< 0.001

 Transfusion from Procedure

3.8%

2.7%

0.02

 Revascularization

17.3%

15.0%

0.03

 Implantable Devices

16.9%

13.8%

0.002

 Valve Disease

44.7%

40.3%

0.002

Renal Disease (ICD-9 and ICD-10 codes)

  

< 0.001

 None or Mild (Stage I, II)

53.4%

81.7%

 

 Moderate (Stage III)

36.0%

16.5%

 

 Severe (Stage IV, V)

10.6%

1.7%

 

Concurrent Drugs (+/− 90 days of initiating DOAC)

 SSRI/SNRI

33.5%

31.0%

0.05

 Strong and moderate P-GP inhibitors

21.4%

22.7%

0.28

 P-GP inducers

16.4%

18.8%

0.03

 Strong P-GP and CYP3A4 dual inhibitors

22.7%

22.5%

0.8

 P-GP and CYP3A4 inducers

16.4%

18.8%

0.03

 ACE inhibitors

70.1%

68.0%

0.12

 Warfarin

20.8%

25.0%

< 0.001

 Angiotensin receptor blockers

41.0%

39.3%

0.2

 Beta blockers

92.1%

89.1%

< 0.001

 Calcium channel blockers

66.8%

63.8%

0.03

 Digoxin

31.1%

29.4%

0.2

 Proton pump inhibitors

60.5%

56.4%

0.004

 NSAIDs

49.6%

51.2%

0.29

 Antiplatelets

32.0%

26.5%

< 0.001

 Insulin

17.0%

12.9%

< 0.001

 Statins

79.6%

79.4%

0.86

 Antiarrhythmics

47.3%

48.0%

0.6

Estimated Glomerular Filtration rate (ml/min/1.73 m2)

  

< 0.001

  < 30

12.3%

2.5%

 

 30–60

62.2%

45.8%

 

 60–90

23.8%

46.0%

 

> = 90

1.8%

5.7%

 

CCI(Charlson Comorbodity Index), mean (standard deviation)

5.52 (3.75)

4.17(3.47)

< 0.001

  1. Abbreviations: ACE Angiotensin converting enzyme, AMI Acute myocardial infarction, COPD Chronic obstructive pulmonary disease, ICD International classification of diseases, NSAIDS Non-steroidal antiinflammatory drugs, P-GP P-glycoprotein, CYP Cytochrome