Real-world Comparative Effectiveness of Apixaban Versus Vitamin K Antagonist
Status: | Completed |
---|---|
Conditions: | Atrial Fibrillation |
Therapuetic Areas: | Cardiology / Vascular Diseases |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 4/6/2017 |
Start Date: | February 12, 2016 |
End Date: | March 1, 2016 |
Real-world Comparative Effectiveness of Apixaban Versus VKA
To obtain a better understanding on the comparative effectiveness of apixaban versus VKA
(Vitamin K antagonist) for stroke prevention in patients with NVAF (Non-valvular atrial
fibrillation) in a real-life setting.
(Vitamin K antagonist) for stroke prevention in patients with NVAF (Non-valvular atrial
fibrillation) in a real-life setting.
Inclusion Criteria:
- NVAF will be defined as the occurrence of 2 or more inpatient or outpatient claims
with ICD-9 427.31 as the diagnosis code at any time in the patient's data history
prior to inclusion
- Patients will be required to have 180 days of enrollment for the assessment of
baseline characteristics
- CHA2DS2-Vasc (C: Congestive heart failure; H: Hypertension; A2: Age ≥75 years; D:
Diabetes mellitus; S2: prior Stroke or TIA or Thromboembolism; V: Vascular disease;
A: Age 65-74 years; Sc: Sex category) score ≥2 during the 180 days prior to index
apixaban use baseline period
Exclusion Criteria:
- Patients <18 years of age
- Patients with valvular AF (Atrial fibrillation)
- Pregnancy
- Malignant cancers
- Transient cause of AF
- Patients with VTE (Venous thromboembolism) (pulmonary embolism or DVT (Deep Vein
Thrombosis))
- Patients with major surgery defined as hip or knee replacement
- Prescriptions of OACs (Oral anticoagulants) (apixaban, warfarin, dabigatran,
rivaroxaban) before index date
- Prescription of more than one OAC on the index date
- Patient with any of the events defined in the composite endpoint
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