Clinical Study

Dabigatran in Secondary Stroke Prevention: Clinical Experience with 106 Patients

Table 1

Baseline characteristics.

Baseline clinical variables

Number of patients (females, %)106 (56, 52.8)
Mean age ± SD (range)76.4 ± 9.8 (50–95)
Hypertension (%)84 (79.2)
Diabetes (%)35 (33.0)
Peripheral artery disease (%)5 (4.7)
Ischemic heart disease (%)9 (8.5)
Previous systemic bleeding (%)*8 (7.5)
Heart failure (%)**8 (7.5)
Mean GFR ± SD (range)***72.6 mL/min ± 21.3 (32–122)
GFR < 60 mL/min (%)29 (27.9)
Median NIHSS (range)1 (0–18)
Median mRS (range)1 (0–4)
Median CHADS (range)4 (2–6)
Median CHA2DS2-VASc (range)5 (2–9)
CHA2DS2VASc > 5 (%)75 (70.8)
Median HAS-BLED (range)2 (1–5)
Reason for starting dabigatran
 Stroke/TIA (%)101 (95.3)
 VKA-related bleeding (%)5 (4.7)
Previous anticoagulation (%)39 (36.8)
 Ischemic stroke ( with INR < 2)34 (29)
 Bleeding ( with INR > 2)5 (5)
Dabigatran dose
 150 mg/12 hours (%)35 (33)
 110 mg/12 hours (%)71 (67)
  Age > 7566
  HAS-BLED ≥ 314
  GFR 30–50 mL/min9
Concomitant antiaggregation therapy (%)9 (8.5)

Any bleeding with anemia considered as 2-point drop in hemoglobin measured in g/dL and/or need for packed red blood cell transfusion (RCC). **Congestive heart failure or left ventricular ejection fraction <40. ***Measured by Crockcroft-Gault formula. SD: standard deviation, DM: diabetes mellitus, GFR: glomerular filtration rate, NIHSS: National Institutes of Health Stroke Scale, and mRS: Modified Rankin Scale.