Low-dose Rivaroxaban : is it a safe alternative in Chinese older patients?

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..

PURPOSE: 10 mg rivaroxaban is widely used in the Chinese mainland. This study aims to explore the association between 10 mg once daily rivaroxaban and all-cause mortality in patients with nonvalvular atrial fibrillation (NVAF).

METHODS: This observational study enrolled 1131 NVAF patients at the cardiovascular department of the First Affiliated Hospital of Xi'an Jiaotong University. One-year outcomes included all-cause mortality and bleeding were recorded. Cox proportional hazards models and Kaplan-Meier analysis were utilized in the study.

RESULTS: In total, 1131 patients (402 no anticoagulants, and 729 rivaroxaban) were included. Cox proportional hazard analysis demonstrated that low-dose rivaroxaban (10 mg, HR: 0.14, 95% CI:(0.07-0.28), P<0.001; 15 mg, HR: 0.20, 95% CI:(0.09-0.43), P<0.001; 20 mg, HR: 0.22, 95% CI:(0.05-0.96), P = 0.044) exhibited lower mortality risk compared to untreated patients.

CONCLUSIONS: 10 mg once daily rivaroxaban may provide survival benefits for elderly patients with NVAF.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:80

Enthalten in:

European journal of clinical pharmacology - 80(2024), 3 vom: 27. Feb., Seite 409-415

Sprache:

Englisch

Beteiligte Personen:

Yu, Yue [VerfasserIn]
Yang, Wei [VerfasserIn]
Li, Wenyuan [VerfasserIn]
Gao, Ge [VerfasserIn]
Luo, Dan [VerfasserIn]
Wu, Yue [VerfasserIn]
Su, Xianming [VerfasserIn]

Links:

Volltext

Themen:

9NDF7JZ4M3
All-cause mortality
Anticoagulants
Dabigatran
I0VM4M70GC
Journal Article
Low-dose rivaroxaban
Nonvalvular Atrial Fibrillation
Observational Study
Pyridones
Real-world evidence
Rivaroxaban

Anmerkungen:

Date Completed 19.02.2024

Date Revised 19.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00228-023-03615-z

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366490370