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Table 3 Association of anticoagulant use (vs. none) after atrial fibrillation diagnosis with cardiovascular events, by sex, among elderly participants in the MarketScan database (2007–2015)

From: Sex differences in treatment strategy and adverse outcomes among patients 75 and older with atrial fibrillation in the MarketScan database

Outcome

Men

Women

p value for multiplicative interaction

ICR

Model 1

Model 2††

Model 1

Model 2††

Anticoagulant

Anticoagulant

Anticoagulant

Anticoagulant

Anticoagulant

Anticoagulant

Anticoagulant

Anticoagulant

+

+

+

+

Heart failure

 Events/N

4020/64,656

5154/62,653

4020/64,656

5154/62,653

4093/72,956

4461/57,975

4093/72,956

4461/57,975

0.003

0.076

 HR (95% CI)

1 (ref.)

1.17 (1.11, 1.22)

1 (ref.)

1.05 (1.01, 1.10)

1 (ref.)

1.26 (1.20, 1.31)

1 (ref.)

1.13 (1.08, 1.18)

  

Stroke

 Events/N

1526/64,884

1461/62,898

1526/64,884

1461/62,898

2341/73,149

1906/58,186

2341/73,149

1906/58,186

0.11

0.068

 HR (95% CI)

1 (ref.)

0.84 (0.78, 0.90)

1 (ref.)

0.83 (0.77, 0.90)

1 (ref.)

0.91 (0.86, 0.97)

1 (ref.)

0.91 (0.85, 0.97)

  

Major bleeding

 Events/N

2154/63,733

4100/63,878

2154/63,733

4100/63,878

2279/70,318

3855/60,944

2279/70,318

3855/60,944

0.13

0.056

 HR (95% CI)

1 (ref.)

1.24 (1.18, 1.30)

1 (ref.)

1.28 (1.22, 1.35)

1 (ref.)

1.29 (1.23, 1.36)

1 (ref.)

1.35 (1.28, 1.42)

  
  1. HR hazard ratio, CI confidence interval, ICR interaction contrast ratio
  2. Bolded results are statistically significant at p value of 0.05
  3. Model 1 adjusts for age
  4. ††Model 2 adjusts for age plus heart failure, hypertension, diabetes mellitus, stroke, myocardial infarction, peripheral arterial disease, chronic kidney disease, gastrointestinal bleed, liver disease, hyperlipidemia, chronic obstructive pulmonary disease, depression, dementia, intracranial bleeding, other forms of bleeding, alcohol abuse, use of lipid lowering medication, beta blockers, calcium channel blockers, angiotensin receptor blocker, angiotensin converting enzyme inhibitor, diuretics, gastrointestinal drugs, cardiac drugs, potassium supplements, anti-diabetics, anti-platelet drugs, thiazide diuretics, anti-arrhythmics, insulin, sulphonylureas, other diuretics, statins and digoxin