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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Am+Heart+Assoc
2015 ; 4
(12
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Apixaban Reduces Hospitalizations in Patients With Venous Thromboembolism: An
Analysis of the Apixaban for the Initial Management of Pulmonary Embolism and
Deep-Vein Thrombosis as First-Line Therapy (AMPLIFY) Trial
#MMPMID26627879
Liu X
; Johnson M
; Mardekian J
; Phatak H
; Thompson J
; Cohen AT
J Am Heart Assoc
2015[Dec]; 4
(12
): ä PMID26627879
show ga
BACKGROUND: In the Apixaban for the Initial Management of Pulmonary Embolism and
Deep-Vein Thrombosis as First-Line Therapy (AMPLIFY) trial, apixaban was
noninferior to enoxaparin/warfarin in preventing recurrent symptomatic venous
thromboembolism (VTE) or venous thromboembolism-related death, with significantly
less bleeding. This analysis evaluated the effects of apixaban versus
enoxaparin/warfarin on all-cause hospitalizations during AMPLIFY. METHODS AND
RESULTS: Of the 5365 patients included, 2676 received apixaban and 2689 received
enoxaparin/warfarin. All-cause hospitalizations during the treatment period after
the index event were captured using dedicated case report forms. Outcomes
included all-cause hospitalizations and time from randomization to first
hospitalization. Patients were censored at death, loss to follow-up, or end of
study, whichever came first. Treatment effects were assessed using Cox
proportional hazards regression models. During the treatment period after the
index event, 343 patients were hospitalized at least once: 153 (5.72%) in the
apixaban group and 190 (7.07%) in the enoxaparin/warfarin group. Compared with
enoxaparin/warfarin, apixaban significantly reduced all-cause hospitalizations
(hazard ratio 0.804, 95% CI=0.650-0.995, P=0.045). All-cause hospitalization
rates within the first 30 days after the index event were 2.28% and 3.35% in the
apixaban and enoxaparin/warfarin groups, respectively (hazard ratio 0.676, 95%
CI=0.488-0.935, P=0.018). For all patients, the average per-patient estimated
mean length of hospital stay was also shorter with apixaban than
enoxaparin/warfarin (0.57 days versus 1.01 days, P<0.0001). CONCLUSIONS: Apixaban
significantly reduced all-cause hospitalizations versus enoxaparin/warfarin, and
shortened the length of hospital stay in patients with acute venous
thromboembolism. CLINICAL TRIAL REGISTRATION: URL: https://Clinicaltrials.Gov/.
Unique identifier: NCT00643201.
|Aged
[MESH]
|Anticoagulants/administration & dosage/therapeutic use
[MESH]
|Double-Blind Method
[MESH]
|Drug Therapy, Combination
[MESH]
|Enoxaparin/administration & dosage/therapeutic use
[MESH]
|Factor Xa Inhibitors/*therapeutic use
[MESH]
|Female
[MESH]
|Hospitalization/statistics & numerical data
[MESH]
|Humans
[MESH]
|Length of Stay/statistics & numerical data
[MESH]