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Table 6 Bivariable associations between standard dose rivaroxaban eligible patients’ characteristics on low or standard dose of rivaroxaban

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

 

Standard dose eligible that received low dose Rivaroxaban (n = 2551)

Standard dose eligible that received standard dose Rivaroxaban (n = 9341)

P value

Before Matching Standardized Difference

After Matching

(N = 2397 vs 2397)

Standardized Difference

Year

  

0.06

  

 2010–2012

8.2%

7.1%

 

0.0439

0.0031

 2013

17.9%

17.1%

 

0.0204

0.0098

 2014

23.8%

22.7%

 

0.0256

0.0248

 2015

21.4%

22.7%

 

0.0312

0.0051

 2016–2017

28.7%

30.4%

 

0.0379

0.0284

Region

  

0.12

  

 Midwest

15.1%

14.4%

 

0.0178

0.1713

 Northeast

1.1%

1.3%

 

0.0229

0.1515

 South

73.1%

72.0%

 

0.0254

0.2038

 West

10.8%

12.3%

 

0.0476

0.0186

Age Category

  

< 0.0001

  

 65–69

8.5%

19.7%

 

0.3266

0

 70 to 74

15.9%

30.3%

 

0.3453

0

 75 to 79

21.6%

25.5%

 

0.0916

0

 80 to 84

25.3%

15.9%

 

0.2337

0

 85 to 89

18.8%

6.9%

 

0.3622

0

 90 or over

9.8%

1.7%

 

0.3544

0

Sex

  

< 0.0001

  

 Female

58.7%

43.7%

 

0.3044

0

 Male

41.3%

56.3%

   

Race Category

  

< 0.0001

  

 White

86.2%

86.8%

 

0.0164

0

 Black

7.3%

6.9%

 

0.0144

0

 Hispanic

2.4%

1.3%

 

0.0813

0

 Asian

1.1%

0.8%

 

0.0304

0

 Other

3.0%

4.2%

 

0.065

0

 Smoker

21.1%

23.0%

0.05

0.044

0.003

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

  

< 0.0001

  

 Under

2.9%

1.4%

 

0.1038

0.0682

 Healthy or Overweight

20.1%

13.6%

 

0.1737

0.2328

 Obese or Severe Obese

22.1%

29.4%

 

0.1684

0.0561

 Others

55.0%

55.6%

 

0.0126

0.2406

Comorbid Conditions

 Prior Stroke

26.9%

21.3%

< 0.001

0.1295

0

 Prior major bleeding

25.2%

22.2%

0.001

0.071

0

 Diabetes

43.4%

43.8%

0.76

0.0069

0.1063

 Prior AMI

7.0%

5.3%

0.001

0.0701

0

 Liver Disease

2.4%

2.9%

0.14

0.0337

0.0139

 Heart Failure

27.0%

21.3%

< 0.001

0.1339

0

 Hypertension

91.2%

90.8%

0.57

0.0128

0.0474

 Cardiomyopathy

43.5%

38.3%

< 0.001

0.1063

0.1134

 Pulmonary Circulatory dis

13.9%

9.8%

< 0.001

0.1277

0.0414

 COPD

33.0%

29.1%

< 0.001

0.0846

0.0972

 Prior blood transfusion

3.7%

1.8%

< 0.001

0.1173

0.0855

 Revascularization

14.7%

13.0%

0.02

0.0495

0.08

 Implantable Devices

14.1%

11.6%

< 0.001

0.0766

0.0553

 Valve Disease

38.1%

35.7%

0.02

0.051

0.0347

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

 SSRI/SNRI

33.3%

27.4%

< 0.001

0.1289

0.0682

 Strong and moderate p-gp inhibitors

15.7%

16.1%

0.67

0.0096

0

 Warfarin

13.2%

14.6%

0.08

0.0391

0.1199

 Pgp inducers

19.5%

15.8%

< 0.001

0.097

0

 Strong p-gp and cyp3a4 dual inhibitors

17.3%

14.8%

0.002

0.069

0.0232

 P-gp and cyp3a4 inducers

19.5%

15.8%

< 0.001

0.097

0

 Ace inhibitors

62.4%

62.1%

0.77

0.0066

0.006

 Angiotensin receptor blockers

33.8%

33.8%

0.98

0.0005

0.0222

 Beta blockers

85.7%

85.4%

0.74

0.0075

0.042

 Calcium channel blockers

59.6%

57.3%

0.03

0.0475

0.0179

 Digoxin

23.4%

19.8%

<.001

0.0892

0.0403

 Proton pump inhibitors

56.2%

49.5%

< 0.001

0.1356

0.0753

 NSAIDS

53.2%

48.7%

< 0.001

0.091

0.133

 Antiplatelets

27.9%

22.5%

< 0.001

0.1229

0.0785

 Insulin

8.5%

8.2%

0.54

0.0136

0.0247

 Statins

75.4%

75.9%

0.6

0.0114

0.0608

Renal Disease

 None or mild

100.0%

100.0%

  

Not available due to perfect match

Moderate (GFR 30–60 ml/min/1.73 m2)

     

Severe

(GFR < 30 ml/min/1.73 m2)

     
  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