OP-123 Bleeding Risk in Patients with Non-valvular Atrial Fibrillation: Results from a Substudy of TREQ-AF Study




Objective


To evaluate bleeding-related risk factors in selecting antithrombotic agents and thereby how HAS-BLED score is in use in non-valvular atrial fibrillation (NVAF) patients in tertiary reference center setting in Turkey.




Methods


This multicenter, observational study included ≥18 year-old NVAF patients from August 2012 through November 2013. Patients with cognitive disorders, postoperative NVAF, or NVAF due to reversible causes, those having myocardial infarction or undergoing any operations within the last 3 months, those participating in another clinical trial in the last 6 months, and pregnant or breastfeeding females were excluded. Bleeding-related risk factors were assessed using the HAS-BLED scores at baseline, 6th month, and 12th month. For categorical variables, Pearson chi-square test was used in two group comparisons.




Methods


This multicenter, observational study included ≥18 year-old NVAF patients from August 2012 through November 2013. Patients with cognitive disorders, postoperative NVAF, or NVAF due to reversible causes, those having myocardial infarction or undergoing any operations within the last 3 months, those participating in another clinical trial in the last 6 months, and pregnant or breastfeeding females were excluded. Bleeding-related risk factors were assessed using the HAS-BLED scores at baseline, 6th month, and 12th month. For categorical variables, Pearson chi-square test was used in two group comparisons.




Results


The median age of the patients (n=210; males, 57.1%) was 65 years (range, 20-88 years). Of the patients, 61.4% were inpatient. Among the patients, 43.8% had permanent AF, 32.9% had paroxysmal AF, and 23.3% had persistent AF. At baseline, 84.3% of the patients were on antithrombotic therapy.


The HAS-BLED scores were 0-2 and ≥3 in 83.1% and 16.9% of the patients, respectively. Bleeding was observed in 22.6% (n=33) and 25.0% (n=35) of the patients at the 6th and 12th months, respectively. The rate of major bleeding was 5.5% at the 6th month and 7.1% at the 12th month. Table 1 demonstrates the HAS-BLED scores and bleeding in the drug groups.

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Nov 30, 2016 | Posted by in CARDIOLOGY | Comments Off on OP-123 Bleeding Risk in Patients with Non-valvular Atrial Fibrillation: Results from a Substudy of TREQ-AF Study

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