Major haemorrhagic complications during oral anticoagulant therapy in a Danish Population‐based cohort
. Steffensen FH, Kristensen K, Ejlersen E, Dahlerup JF, S~rensen HT (University of Aarhus and Aarhus University Hospital, Arhus, and Aalborg Hospital, Aalborg, Denmark). Major haemorrhagic complications during oral anticoagulant therapy in a Danish population‐based cohort. 1 Intern Med 199 7; 242: 4...
Saved in:
Published in | Journal of internal medicine Vol. 242; no. 6; pp. 497 - 502 |
---|---|
Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Oxford, UK
Blackwell Publishing Ltd
01.12.1997
Blackwell Science |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | . Steffensen FH, Kristensen K, Ejlersen E, Dahlerup JF, S~rensen HT (University of Aarhus and Aarhus University Hospital, Arhus, and Aalborg Hospital, Aalborg, Denmark). Major haemorrhagic complications during oral anticoagulant therapy in a Danish population‐based cohort. 1 Intern Med 199 7; 242: 497‐503.
Objectives: To estimate the incidence of bleeding leading to death or hospital admission in out‐patients treated with oral anticoagulants.
Design: Population‐based historical cohort study 1 January 1992 to 31 September 1994.
Setting: The County of North Jutland, Denmark (488 000 inhabitants).
Subjects: Six hundred and eighty‐two consecutive patients commencing oral anticoagulant therapy.
Main outcome measures: Fatal bleeding or bleeding demanding hospital admission.
Results: In 756 treatment‐years of follow‐up, there were 45 major haemorrhagic events (6.0 per 100 treatment‐years) in 42 patients, of which seven (0.9 per 100 treatment‐years) were fatal. The risk of a first major haemorrhagic episode was highest during the first 90 days of treatment compared with duration above one year (incidence rate ratio, IRR, 1.9; 95% CI, 0.8‐4.1). The rate was highest above the age of 60 years, 6.8 per 100 treatment‐years, compared with 2.9 per 100 treatment‐years below 60 years (IRR 2.3; 95% CI, 1.0–5.6). The rate for a bleeding event was slightly higher in females than in males (IRR 1.3; 95% CI, 0.7‐2.3), but did not vary according to type of anticoagulant drug.
Conclusions: The reported rates of major bleeding in this routine community setting implied a higher bleeding risk than was found in randomized trials or when patients are monitored in specialist anticoagulation clinics. |
---|---|
Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0954-6820 1365-2796 |
DOI: | 10.1111/j.1365-2796.1997.tb00023.x |