From: The impact on renal function after long-term use of anticoagulants in atrial fibrillation patients
Variable | Warfarin | Dabigatran | Anti-factor Xa inhibitors | p value | ASMD | ||
---|---|---|---|---|---|---|---|
W vs D | W vs XaI | D vs XaI | |||||
N | 531 | 531 | 1062 | ||||
Gender (male) | 344 (64.8) | 358 (67.4) | 660 (62.1) | 0.110 | 0.003 | 0.003 | 0.007 |
Mean age | 71 ± 8.8a, b | 70 ± 8.7a | 71 ± 8.6b | 0.004 | 0.108 | 0.068 | 0.177 |
Medical history | |||||||
Type 2 DM | 111 (20.9) | 104 (19.6) | 238 (22.4) | 0.415 | 0.003 | 0.003 | 0.006 |
Hypertension | 258 (48.6)a | 214 (40.3)b | 524 (49.3)a | 0.002 | 0.012 | 0.001 | 0.014 |
Hyperlipidemia | 127 (23.9) | 118 (22.2) | 267 (25.1) | 0.436 | 0.004 | 0.002 | 0.006 |
Heart failure | 34 (6.4) | 34 (6.4) | 87 (8.2) | 0.285 | 0 | 0.007 | 0.002 |
Previous stroke | 30 (5.6) | 31 (5.8) | 58 (5.5) | 0.952 | 0.001 | 0.001 | 0.002 |
Vascular disease | 14 (2.6) | 6 (1.1) | 24 (2.3) | 0.188 | 0.011 | 0.002 | 0.009 |
Chronic kidney disease | |||||||
Stage < 3 | 355 (66.9)a | 407 (76.6)b | 678 (63.8)a | < 0.001 | 0.012 | 0.004 | 0.015 |
Stage ≥3 | 176 (33.1)a | 124 (23.4)b | 384 (36.2)a | 0.018 | 0.005 | 0.024 | |
CHA2DS2-VASc | 2.55 ± 1.30a | 2.40 ± 1.33a | 3.26 ± 1.33b | < 0.001 | 0.114 | 0.106 | 0.218 |
Medication | |||||||
ACEI/ARB | 329 (62.0) | 310 (58.4) | 669 (63.0) | 0.199 | 0.005 | 0.001 | 0.006 |
Spironolactone | 0 (0) | 0 (0) | 2 (0.4) | 0.500 | – | 0.006 | 0.006 |
Renal function | |||||||
The average serum Cr (mg/dL) | 1.06 ± 0.30a | 1.00 ± 0.26b | 1.07 ± 0.30a | < 0.001 | 0.214 | 0.033 | 0.249 |
Baseline eGFR (mL/min/1.73 m2) | 71.47 ± 22.42a | 76.00 ± 21.91b | 69.65 ± 21.24a | < 0.001 | 0.204 | 0.083 | 0.294 |
1-year eGFR (mL/min/1.73 m2) | 68.90 ± 21.78a | 73.85 ± 22.02b | 67.82 ± 21.21a | < 0.001 | 0.226 | 0.050 | 0.279 |
2-year eGFR (mL/min/1.73 m2) | 68.87 ± 24.74a | 73.68 ± 25.72b | 66.91 ± 21.82a | < 0.001 | 0.191 | 0.084 | 0.284 |
Renal outcomes | |||||||
Acute kidney injury (%) | 54 (10.2)a | 23 (4.3)b | 57 (5.4)b | < 0.001 | 0.022 | 0.017 | 0.005 |
Renal failure requiring HD (%) | 0 (0) | 0 (0) | 1 (0.1) | 1.000 | – | 0.004 | 0.004 |
Renal death (%) | 3 (0.6) | 0 (0) | 4 (0.4) | 0.288 | 0.011 | 0.003 | 0.009 |