From: The impact on renal function after long-term use of anticoagulants in atrial fibrillation patients
Variable | Rivaroxaban | Apixaban | Edoxaban | p value | ASMD | ||
---|---|---|---|---|---|---|---|
R vs A | R vs E | A vs E | |||||
N | 208 | 208 | 104 | ||||
Gender (male) | 128 (61.5) | 137 (65.9) | 71 (68.3) | 0.447 | 0.005 | 0.008 | 0.003 |
Mean age | 70 ± 10.3 | 70 ± 10.0 | 69 ± 10.0 | 0.967 | 0.004 | 0.026 | 0.030 |
Medical history | |||||||
Type 2 DM | 49 (23.6) | 49 (23.6) | 23 (22.1) | 0.953 | 0 | 0.003 | 0.003 |
Hypertension | 101 (48.6) | 101 (48.6) | 47 (45.2) | 0.828 | 0 | 0.005 | 0.005 |
Hyperlipidemia | 57 (27.4) | 57 (27.4) | 34 (32.7) | 0.565 | 0 | 0.010 | 0.010 |
Heart failure | 19 (9.1) | 13 (6.3) | 9 (8.7) | 0.523 | 0.010 | 0.002 | 0.009 |
Previous stroke | 11 (5.3) | 9 (4.3) | 5 (4.8) | 0.900 | 0.004 | 0.002 | 0.002 |
Vascular disease | 6 (2.9) | 2 (1.0) | 0 (0) | 0.018 | 0.014 | 0.024 | 0.014 |
Chronic kidney disease | |||||||
Stage < 3 | 130 (62.5) | 131 (63.0) | 59 (56.7) | 0.527 | 0.001 | 0.007 | 0.008 |
Stage ≥3 | 78 (37.5) | 77 (37.0) | 45 (43.3) | 0.001 | 0.009 | 0.010 | |
CHA2DS2-VASc | 2.59 ± 1.34 | 2.52 ± 1.35 | 2.44 ± 1.40 | 0.652 | 0.052 | 0.109 | 0.058 |
Medication | |||||||
ACEI/ARB | 131 (63.0) | 112 (53.8) | 69 (66.3) | 0.055 | 0.012 | 0.004 | 0.016 |
Spironolactone | 0 (0) | 1 (0.5) | 1 (1.0) | 0.160 | 0.010 | 0.014 | 0.006 |
Renal function | |||||||
The average serum Cr (mg/dL) | 1.08 ± 0.32 | 1.10 ± 0.35 | 1.13 ± 0.35 | 0.504 | 0.060 | 0.149 | 0.086 |
Baseline eGFR (mL/min/1.73 m2) | 70.04 ± 22.25 | 69.57 ± 22.49 | 68.55 ± 21.88 | 0.856 | 0.021 | 0.068 | 0.046 |
1-year eGFR (mL/min/1.73 m2) | 67.53 ± 22.23 | 67.02 ± 20.75 | 69.60 ± 23.43 | 0.608 | 0.024 | 0.091 | 0.117 |
2-year eGFR (mL/min/1.73 m2) | 67.13 ± 22.39 | 66.87 ± 23.40 | 67.37 ± 22.69 | 0.983 | 0.011 | 0.011 | 0.022 |
Renal outcomes | |||||||
Acute kidney injury (%) | 5 (2.4) | 10 (4.8) | 4 (3.8) | 0.423 | 0.013 | 0.008 | 0.005 |
Renal failure requiring HD (%) | 1 (0.5) | 0 (0) | 0 (0) | 0.400 | 0.010 | 0.010 | – |
Renal death (%) | 1 (0.5) | 0 (0) | 1 (1.0) | 0.160 | 0.010 | 0.006 | 0.014 |