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Risk factors for severe bleeding events during warfarin treatment: the influence of sex, age, comorbidity and co-medication.


ABSTRACT: PURPOSE:To investigate risk factors for severe bleeding during warfarin treatment, including the influence of sex, age, comorbidity and co-medication on bleeding risk. METHODS:Patients initiating warfarin treatment between 2007 and 2011 were identified in the nationwide Swedish Prescribed Drug Register, and diagnoses of severe bleeding were retrieved from the National Patient Register. Hazard ratios (HR) with 95% confidence intervals (CI) for severe bleeding were estimated using multiple Cox regression adjusting for indications and including covariates age, sex, comorbidities and co-medications. Interactions between sex and other covariates were investigated. RESULTS:The study cohort included 232,624 patients ??18 years (101,011 women and 131,613 men). The incidence rate of severe bleeding was 37 per 1000 person-years, lower among women than men with an adjusted HR (95% CI) of 0.84 (0.80-0.88). Incidence of bleeding increased with age, HR 2.88 (2.37-3.50) comparing age ??80 to

SUBMITTER: Rydberg DM 

PROVIDER: S-EPMC7239828 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Risk factors for severe bleeding events during warfarin treatment: the influence of sex, age, comorbidity and co-medication.

Rydberg Diana M DM   Linder Marie M   Malmström Rickard E RE   Andersen Morten M  

European journal of clinical pharmacology 20200328 6


<h4>Purpose</h4>To investigate risk factors for severe bleeding during warfarin treatment, including the influence of sex, age, comorbidity and co-medication on bleeding risk.<h4>Methods</h4>Patients initiating warfarin treatment between 2007 and 2011 were identified in the nationwide Swedish Prescribed Drug Register, and diagnoses of severe bleeding were retrieved from the National Patient Register. Hazard ratios (HR) with 95% confidence intervals (CI) for severe bleeding were estimated using m  ...[more]

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