Research Article

Trends in Stroke Prevention between 2014 and 2018 in Hospitalized Atrial Fibrillation Patients

Table 2

Clinical characteristics of patients with atrial fibrillation treated with vitamin K antagonist and non-vitamin K antagonist oral anticoagulant.

Clinical featureOAC n = 3680NOAC n = 2311VKA n = 1369

Female, n (%)1572 (42.7)1008 (43.6)564 (41.2)0.152
Age, years0.001
Mean (SD)71.8 (12)72.2 (11.5)71.3 (10)
Median (IQR)72 (15)73 (16)71 (14)

Clinical characteristics, n (%)
Heart failure2276 (61.8)1338 (57.9)938 (68.5)<0.001
Hypertension2891 (78.6)1804 (78.1)1087 (79.4)0.339
Diabetes mellitus1063 (28.9)618 (26.7)445 (32.5)<0.001
Previous thromboembolic event480 (13)321 (13.9)159 (11.6)0.047
Vascular disease1331 (36.2)800 (34.6)531 (38.8)0.011
Cancer157 (4.3)102 (4.4)55 (4.0)0.345

AF type, n (%)
Paroxysmal1566 (42.6)1067 (46.2)499 (36.4)<0.001
Persistent737 (20.0)524 (22.7)213 (15.6)<0.001
Permanent1377 (37.4)720 (31.2)657 (48.0)<0.001
Nonpermanent2303 (62.6)1591 (68.8)712 (52.0)<0.001

Thromboembolic risk
CHA2DS2-VASC score0.338
Mean (SD)3.9 (1.8)3.9 (1.9)4.0 (1.8)
Median (IQR)4.0 (2.0)4.0 (2.0)4.0 (2.0)
CHA2DS2-VASC = 0, n (%)74 (2)54 (2.3)20 (1.5)0.002
CHA2DS2-VASC = 1, n (%)271 (7.4)193 (8.4)78 (5.7)
CHA2DS2-VASC ≥ 2, n (%)3335 (90.6)2064 (89.3)1271 (92.8)

Bleeding risk
HASBLED score0.005
Mean (SD)2.0 (0.9)2.0 (0.9)2.0 (1.0)
Median (IQR)2.0 (2.0)2.0 (2.0)2.0 (2.0)
HASBLED ≥ 3, n (%)1064 (28.9)621 (26.8)443 (32.4)0.048

Laboratory tests
HGB, g/dln = 3615n = 2268n = 13470.091
Mean (SD)13.4 (1.7)13.4 (1.7)13.3 (1.7)
Median (IQR)13.5 (2.2)13.5 (2.3)13.4 (2.1)
PLT, 103/uln = 3594n = 2255n = 1339<0.001
Mean (SD)210.6 (72.8)215.3 (75.5)202.6 (67.1)
Median (IQR)200.0 (78.0)205.0 (78.0)193.0 (74.0)
Creatinine, mg/dln = 3668n = 2304n = 1364<0.001
Mean (SD)1.3 (0.4)1.2 (0.3)1.3 (0.5)
Median (IQR)1.2 (0.4)1.2 (0.3)1.2 (0.4)
eGFR, 60 ml/min/1.73 m2n = 3679n = 2311n = 1368<0.001
Mean (SD)54.8 (16.3)55.8 (16.1)53.3 (16.4)
Median (IQR)54.2 (21.1)55.1 (21.3)52.7 (20.7)
eGFR < 60 ml/min/1.73 m2, n (%)2355 (64.0)1442 (62.4)913 (67.1)0.008

Echocardiography
LA, mmn = 2667n = 1664n = 1003<0.001
Mean (SD)47.1 (7.7)46.1 (7.3)48.8 (8.1)
Median (IQR)46.0 (10.0)45.0 (9.0)48.0 (10.0)
LVDD, mmn = 2680n = 1676n = 1004<0.001
Mean (SD)53.1 (8.7)52.3 (8.4)54.4 (9.0)
Median (IQR)52.0 (11.0)51.0 (10.0)53.0 (11.0)
LVEF, n (%)n = 2704n = 1688n = 1016<0.001
Mean (SD)48.2 (17.1)49.5 (18.8)46.1 (13.7)
Median (IQR)50.0 (20.0)52.0 (18.0)50.0 (19.0)
Antiplatelet drug/drugs, n (%)275 (7.5)142 (6.1)133 (9.7)<0.001

Data are presented as number (percentage) or mean (standard deviation) (SD) or median (interquartile range) (IQR). AF: atrial fibrillation; eGFR: estimated glomerular filtration rate; HGB: hemoglobin concentration; LA: left atrium; LVDD: left ventricular end-diastolic dysfunction; LVEF: left ventricular ejection fraction; NOAC: non-vitamin K antagonist oral anticoagulant; OAC: oral anticoagulation therapy; PLT: platelet count; TIA: transient ischemic attack; and VKA: vitamin K antagonist oral anticoagulants.