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Table 3 Summative assessment of factors shown to positively or negatively impact INR stability

From: Vitamin K antagonist use: evidence of the difficulty of achieving and maintaining target INR range and subsequent consequences

Factor

Data source

Significant factors the impact INR stability

Poorer INR Stability

VKA Use in Community Setting vs. Anticoagulation Clinic

Meta-Regression

↓ TTR by 7.1 to 7.2 %

VKA Naïve vs. VKA-Experienced

Meta-Regression

↓ TTR by 5.3 %

Heart Failure

Multivariate Analysis

OR 1.41 for TTR Instability

Diabetes Mellitus

Multivariate Analysis

OR 1.28 for TTR Instability

Stroke History

Multivariate Analysis

OR 1.15 for TTR Instability

Higher CHADS2 Score

Multivariate Analysis

↓ TTR by 7.6 % (SAMe-TT2R2)

Female Gender

Multivariate Analysis

↓ TTR by 6.0 % (SAMe-TT2R2)

Younger Age

Multivariate Analysis

↓ TTR by 20.3 % Age <50 (SAMe-TT2R2)

↓ TTR by 7.7 % Age 50–60 (SAMe-TT2R2)

Minority Status

Multivariate Analysis

↓ TTR by 18.5 % (SAMe-TT2R2)

Smoking

Multivariate Analysis

↓ TTR by 10.8 % (SAMe-TT2R2)

Amiodarone Use

Multivariate Analysis

↓ TTR by 7.7 % (SAMe-TT2R2)

Better INR Stability

VKA Self Management vs. No Self Management

Meta-Regression

↑ TTR by 7.0 %

European/United Kingdom Treatment vs. Elsewhere

Meta-Regression

↑ TTR by 9.7 %

Non-Warfarin VKAs vs. Warfarin

Meta-Regression

↑ TTR by 9.2 %

Male Gender

Multivariate Analysis

OR 0.78 for TTR Instability

Hypertension

Multivariate Analysis

OR 0.86 for TTR Instability

Beta-Blocker Use

Multivariate Analysis

↑TTR by 4.8 % (SAMe-TT2R2)

Verapamil Use

Multivariate Analysis

↑ TTR by 6.3 % (SAMe-TT2R2)

  1. OR Odds Ratio, TTR Time in Therapeutic Range, VKA Vitamin K Antagonist