Real-world Comparative Effectiveness of Rivaroxaban Versus VKA
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 |
To obtain a better understanding on the comparative effectiveness of rivaroxaban versus
VKA(Vitamin K antagonist) for stroke prevention in patients with NVAF(non-valvular atrial
fibrillation) in a real-life setting
VKA(Vitamin K antagonist) for stroke prevention in patients with NVAF(non-valvular atrial
fibrillation) in a real-life setting
Inclusion Criteria:
- NVAF(non-valvular atrial fibrillation) will be defined as the occurrence of 2 or more
inpatient or outpatient claims with ICD(International Classification of Disease)-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 score ≥2 during the 180 days prior to index rivaroxaban use baseline
period (CHA2DS2-Vasc: Diabetes mellitus; S2: prior Stroke or TIA or Thromboembolism;
V: Vascular disease; A: Age 65-74 years; Sc: Sex category)
Exclusion Criteria:
- Patients <18 years of age
- Patients with valvular AF (Atrial fibrillation)
- Pregnancy
- Malignant cancers
- Transient cause of AF
- Patients with venous thromboembolism (pulmonary embolism or deep vein thrombosis)
- Patients with major surgery defined as hip or knee replacement
- Prescriptions of oral anticoagulants (OACs) (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
- Fatal bleeding
- Fatal Stroke/Myocardial infarction
- Intracranial hemorrhage
- Ischemic stroke
- Myocardial infarction
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