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Table 2 Characteristics of patients taking standard (20 mg) or reduced (15 mg) dose rivaroxaban

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

 

Reduced Dose

(15 mg daily)

Standard Dose

(20 mg daily)

P-value

Total number of patients

6467

13,245

 

Age Category, years

  

< 0.001

 65–69

7.9%

18.2%

 

 70 to 74

14.8%

29.0%

 

 75 to 79

20.7%

25.6%

 

 80 to 84

25.4%

17.0%

 

 85 to 89

19.8%

7.8%

 

 90 or over

11.4%

2.4%

 

Sex

  

< 0.001

 Female

57.1%

46.2%

 

 Male

42.9%

53.8%

 

Race Category

  

< 0.001

 White

85.2%

85.8%

 

 Black

9.0%

8.0%

 

 Hispanic

2.2%

1.6%

 

 Asian

0.8%

0.8%

 

 Other

2.8%

3.8%

 

 Smoking

20.2%

22.8%

< 0.001

 Alcohol

2.3%

3.2%

< 0.001

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

  

< 0.001

 Under-Weight

2.3%

1.3%

 

 Healthy or Overweight

19.1%

14.3%

 

 Obese or Severe Obese

26.2%

31.2%

 

 Not available

52.4%

53.2%

 

Comorbid Conditions

 Prior Stroke

28.2%

22.4%

< 0.001

 Prior major bleeding from Diagnosis

26.6%

23.9%

< 0.001

 Gastrointestinal bleeding

15.2%

13.5%

0.002

 Cerebral bleeding

1.3%

0.8%

< 0.001

 Diabetes

51.0%

47.7%

< 0.001

 Prior AMI

9.0%

5.7%

< 0.001

 Liver Disease

2.9%

3.1%

0.35

 Heart Failure

35.6%

24.3%

< 0.001

 Hypertension

94.6%

92.1%

< 0.001

 Ischemic cardiomyopathy

47.7%

40.2%

< 0.001

 Pulmonary

15.9%

11.1%

< 0.001

 COPD

36.3%

31.4%

< 0.001

 Transfusion from Procedure

5.0%

2.3%

< 0.001

 Revascularization

16.5%

13.7%

< 0.001

 Implantable Devices

16.7%

12.5%

< 0.001

 Valve Disease

40.6%

36.4%

0.002

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

  

< 0.001

 None or Mild (Stage I, II)

54.8%

83.9%

 

 Moderate (Stage III)

37.5%

14.5%

 

 Severe (Stage IV, V)

7.7%

1.5%

 

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

 SSRI/SNRI

33.7%

29.1%

< 0.001

 Strong and moderate P-GP inhibitors

18.3%

18.5%

0.63

 P-GP inducers

18.5%

16.5%

< 0.001

 Strong P-GP and CYP3A4 dual inhibitors

22.7%

20.8%

0.002

 P-GP and CYP3A4 inducers

18.5%

16.5%

< 0.001

 ACE inhibitors

67.4%

64.3%

< 0.001

 Warfarin

15.0%

16.1%

0.045

 Angiotensin receptor blockers

40.0%

36.7%

< 0.001

 Beta blockers

88.1%

86.5%

0.015

 Calcium channel blockers

64.5%

59.4%

< 0.001

 Digoxin

23.1%

20.8%

< 0.001

 Proton pump inhibitors

58.3%

52.3%

< 0.001

 NSAIDs

52.9%

50.1%

< 0.001

 Antiplatelets

30.2%

24.3%

< 0.001

 Insulin

14.3%

10.8%

< 0.001

 Statins

79.3%

77.6%

0.006

 Antiarrhythmics

40.4%

43.1%

< 0.001

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

  

< 0.001

  < 30

7.5%

1.3%

 

 30–60

61.1%

35.2%

 

 60–90

28.8%

56.7%

 

  > =90

2.6%

6.8%

 

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

5.05(3.65)

3.71(3.34)

< 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