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 factors | Odds ratio (95% CI) | value | Points |
| Recent major bleed | 2.7 (1.6–4.6) | < 0.001 | 2.0 | Serum creatinine (Scr) > 1.2 mg/dL | 2.1 (1.7–2.8) | < 0.001 | 1.5 | Anemia | 2.1 (1.7–2.7) | < 0.001 | 1.5 | Cancer | 1.7 (1.4–2.2) | < 0.001 | 1.0 | Clinically overt pulmonary embolism | 1.7 (1.4–2.2) | < 0.001 | 1.0 | Age > 75 years | 1.7 (1.3–2.1) | < 0.001 | 1.0 |
|
|
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 factors | Odds ratio (95% CI) | value | Points |
| Age > 75 years | 2.16 (1.49–3.16) | < 0.001 | 1.0 | Recent major bleed | 2.64 (1.44–4.83) | 0.002 | 1.5 | Immobility ≥ 4 days | 1.99 (1.40–2.83) | < 0.001 | 1.0 | Metastatic cancer | 3.80 (2.56–5.64) | < 0.001 | 2.0 | Anemia | 1.54 (1.07–2.22) | 0.021 | 1.0 | Platelet count < 100.000/mm3 | 2.23 (1.16–4.29) | 0.016 | 1.0 | Elevated prothrombin time (PT) | 2.09 (1.34–3.26) | 0.001 | 1.0 | Creatinine clearance (CrCl) < 30 mL/min | 2.27 (1.49–3.44) | < 0.001 | 1.0 | Distal deep vein thrombosis | 0.39 (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).
|