Research Article

Oral Factor Xa Inhibitors versus Warfarin for the Treatment of Venous Thromboembolism in Advanced Chronic Kidney Disease

Table 1

Baseline characteristics.

Demographics Total cohort n = 56Warfarin n = 39DOAC  n = 17 value

Age, years, median, IQR72 (54,81)71 (52,81)74 (63,83)0.433
Male sex26 (46)16 (41)10 (59)0.219
Wt, kg (ABW), median, IQR72 (58,88)61 (50,71)65 (52,74)0.423
BMI, kg/m [2], median, IQR25 (22,31)25 (22,30)26 (21,33)0.397
EGFR, ml/min/1.73m2, median, IQR17 (8,24)14 (7,23)21 (12,28)0.021
Length of stay, days, median, IQR11 (7,21)14 (8,23)8 (4,11)0.006

Past medical history
DVT8 (14)6 (15)2 (12)1.000
PE14 (25)10 (26)4 (24)1.000
Stroke9 (16)7 (18)2 (12)0.707
 Ischemic7 (13)5 (12.8)2 (12)1.000
 Hemorrhagic2 (5)2 (5)0 (0)1.000
Renal disease
 Stage 426 (46)14 (36)12 (71)0.017
 Stage 530 (54)25 (64)5 (30)0.017
 Hemodialysis25 (45)21 (54)4 (24)0.036
CAD19 (34)13 (33)6 (35)0.887
PAD/PVD7 (18)7 (18)0 (0)0.088
Liver disease1 (3)1 (3)0 (0)1.000
Active cancer4 (7)1 (3)3 (18)0.079
HF18 (32)12 (31)6 (35)0.739
 Reduced EF8 (14)5 (42)3 (50)0.688
 Preserved EF10 (18)7 (58)3 (50)1.000
DM23 (41)16 (41)7 (41)0.992
HTN46 (82)29 (74)17 (100)0.023
Prior bleeding4 (7)2 (5)2 (12)0.577
AF11 (20)7 (18)4 (24)0.719
CHA2DS2-VASc, median, IQR5 (4,7), n = 115 (4,6), n = 75 (3,7), n = 40.527
Anemia20 (36)16 (41)4 (24)0.209
Coagulopathy2 (5)2 (5)0 (0)1.000
 Protein C/S deficiency10
 Lupus anticoagulant10
 Antithrombin deficiency00
 Antiphospholipid antibody00
 Factor V Leiden00
Major surgery or trauma in the past 6 months8 (14)5 (13)3 (18)0.688

Indication for anticoagulation
DVT44 (79)30 (77)14 (82)0.738
PE14 (25)10 (26)4 (24)1.000
AF11 (20)7 (18)4 (24)0.719
Mechanical valve1 (3)1 (3)0 (0)1.00

Concomitant medications
Aspirin25 (45)17 (44)8 (47)0.810
Clopidogrel3 (5)2 (5)1 (6)1.000
Ticagrelor1 (6)0 (0)1 (6)0.304
Darbepoetin alfa15 (27)13 (33)2 (12)0.114

All data presented as n (%) unless otherwise stated, BMI: body mass index, EGFR: estimated glomerular filtration rate, AF: atrial fibrillation, DVT: deep vein thrombosis, PE: pulmonary embolism, CAD: coronary artery disease, PAD: peripheral artery disease, PVD: peripheral vascular disease, DM: diabetes mellitus, HTN: hypertension, CHA2DS2-VASc: congestive heart failure, hypertension, age, diabetes mellitus, stroke/TIA/TE, vascular disease (prior MI, PAD, or aortic plaque), and sex category.