Impact of Reduced-Dose Nonvitamin K Antagonist Oral Anticoagulants on Outcomes Compared to Warfarin in Korean Patients with Atrial Fibrillation: A Nationwide Population-Based Study.

NOAC anticoagulants atrial fibrillation stroke systemic embolism warfarin

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
30 Aug 2021
Historique:
received: 13 08 2021
revised: 26 08 2021
accepted: 26 08 2021
entrez: 10 9 2021
pubmed: 11 9 2021
medline: 11 9 2021
Statut: epublish

Résumé

Reduced-dose nonvitamin K antagonist oral anticoagulants (NOACs) are commonly prescribed to Asian patients with nonvalvular atrial fibrillation (NVAF). We aimed to compare the risk of stroke/systemic embolism (S/SE) and major bleeding (MB) between patients treated with reduced-dose NOACs and those treated with warfarin, using the claims database in Korea. Patients with NVAF newly initiated on oral anticoagulants (OACs; apixaban, dabigatran, rivaroxaban, and warfarin) between 1 July 2015 and 30 November 2016 were included. Among all patients with NVAF treated with OACs, 5249, 6033, 7602, and 8648 patients were treated with reduced-dose apixaban, dabigatran, rivaroxaban, and warfarin, respectively. Patients treated with reduced-dose NOACs were older and had higher CHA

Identifiants

pubmed: 34501364
pii: jcm10173918
doi: 10.3390/jcm10173918
pmc: PMC8432037
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Pfizer and Bristol Myers Squibb
ID : NA

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Auteurs

Sola Han (S)

Pharmaceutical Economics, Big Data Analysis & Policy, College of Pharmacy, Kyung Hee University, Seoul 02447, Korea.

Young-Hoon Kim (YH)

Division of Cardiology, Department of Internal Medicine, Korea University, Seoul 02841, Korea.

Myung-Yong Lee (MY)

Division of Cardiology, Department of Internal Medicine, Dankook University, Cheonan 31116, Korea.

Oh Young Bang (OY)

Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06355, Korea.

Sung-Won Jang (SW)

Divison of Cardiology, Department of Internal Medicine, Catholic University of Korea, Seoul 06591, Korea.

Seongwook Han (S)

Division of Cardiology, Department of Internal Medicine, Dongsan Hospital, Keimyung University School of Medicine, Daegu 42601, Korea.

Yoo-Jung Park (YJ)

Pfizer Korea Ltd., Seoul 04631, Korea.

Seongsik Kang (S)

Pfizer Korea Ltd., Seoul 04631, Korea.

Young Keun On (YK)

Department of Cardiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06355, Korea.

Hae Sun Suh (HS)

Pharmaceutical Economics, Big Data Analysis & Policy, College of Pharmacy, Kyung Hee University, Seoul 02447, Korea.

Classifications MeSH