Review Article

Role of Factor Xa Inhibitors in Cancer-Associated Thrombosis: Any New Data?

Table 3

Multivariate analysis for major bleeding and bleeding risk index classification [60, 61].
(a)

Risk factorsOdds ratio (95% CI) valuePoints

Recent major bleed2.7 (1.6–4.6)< 0.0012.0
Serum creatinine (Scr) > 1.2 mg/dL2.1 (1.7–2.8)< 0.0011.5
Anemia2.1 (1.7–2.7)< 0.0011.5
Cancer1.7 (1.4–2.2)< 0.0011.0
Clinically overt pulmonary embolism1.7 (1.4–2.2)< 0.0011.0
Age > 75 years1.7 (1.3–2.1)< 0.0011.0

0 points = low risk.
0.1% (95% CI: 0.0–0.2).
1–4 points = intermediate risk.
2.8% (95% CI: 2.4–3.3).
>4 points= high risk.
7.3% (95% CI: 4.0–9.1).
(b)

Risk factorsOdds ratio (95% CI) valuePoints

Age > 75 years2.16 (1.49–3.16)< 0.0011.0
Recent major bleed2.64 (1.44–4.83)0.0021.5
Immobility ≥ 4 days1.99 (1.40–2.83)< 0.0011.0
Metastatic cancer3.80 (2.56–5.64)< 0.0012.0
Anemia1.54 (1.07–2.22)0.0211.0
Platelet count < 100.000/mm32.23 (1.16–4.29)0.0161.0
Elevated prothrombin time (PT)2.09 (1.34–3.26)0.0011.0
Creatinine clearance (CrCl) < 30 mL/min2.27 (1.49–3.44)< 0.0011.0
Distal deep vein thrombosis0.39 (0.16–0.95)0.038−1.0

Score < 1.5 = low risk 0.16%.
LR = 0.29 (95% CI: 0.20–0.41).
Score 1.5–4 = intermediate risk 1.06%.
LR = 1.92 (95% CI: 1.69–2.17).
Score > 4 = high risk 4.24%.
LR = 7.95 (95% CI: 5.42–11.6).