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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 BMC+Cardiovasc+Disord
2017 ; 17
(1
): 83
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Bleeding events associated with a low dose (110 mg) versus a high dose (150 mg)
of dabigatran in patients treated for atrial fibrillation: a systematic review
and meta-analysis
#MMPMID28298191
Bundhun PK
; Chaudhary N
; Yuan J
BMC Cardiovasc Disord
2017[Mar]; 17
(1
): 83
PMID28298191
show ga
BACKGROUND: The newer oral anticoagulant dabigatran is considered to be more
beneficial in patients with non-valvular Atrial Fibrillation (AF) when compared
to warfarin. However, because bleeding events which are associated with a low
dose (110 mg) versus a high dose (150 mg) of dabigatran have seldom been
compared, we aimed to systematically solve this important issue through this
meta-analysis. METHODS: English publications comparing 110 mg with 150 mg
dabigatran in patients who were treated for AF were electronically searched
through medical databases. Bleeding outcomes were the major clinical endpoints to
be assessed. Odds Ratios (OR) and 95% Confidence Intervals (CIs) for each
subgroup were calculated and the main analysis was carried out by the latest
version of the RevMan 5.3 software. RESULTS: Twenty-nine thousand two hundred and
sixty-four (29,264) patients were included in this meta-analysis. Fifteen
thousand eight hundred and forty-eight (15,848) patients were treated with 110 mg
dabigatran whereas 13,416 patients were treated with 150 mg dabigatran. 110 mg
dabigatran was associated with a significantly lower rate of minor bleeding (OR:
1.19, 95% CI: 1.10-1.27; P?0.00001). A similar rate of fatal and major bleeding
was observed with both dosages (OR: 1.12, 95% CI: 0.69-1.82; P?=?0.65) and (OR:
1.09, 95% CI: 0.86-1.37; P?=?0.49) respectively. However, ischemic stroke
insignificantly favored a higher dose of dabigatran, (OR: 0.77, 95% CI:
0.51-1.16; P?=?0.21). In addition, this analysis showed mortality to
significantly favor 150 mg of dabigatran (OR: 0.41, 95% CI: 0.34-0.50;
P?0.00001). CONCLUSION: No significant differences in major and fatal bleedings
were observed with 110 mg versus 150 mg dabigatran. However, 110 mg dabigatran
was associated with a significantly lower risk of minor bleeding. These results
should further be confirmed in future trials.