Research Article

Low Performance of a Clinical-Genetic Model in the Estimation of Time in Therapeutic Range in Acenocoumarol-Adherent Patients with Nonvalvular Atrial Fibrillation: The Quality of Anticoagulation Challenge

Table 1

Baseline Characteristics according to time in therapeutic range.

Total cohort (n=212)TTR <70 (n=128, 60.4)TTR ≥70 (n=84, 39.6)p-value

Age, years74 ± 9.074 ± 8.873 ± 9.20.286
Male gender, n ()105 (50.0)63 (49.2)42 (50.0)0.911
Body mass index, kg/m230.9 ± 5.230.2 ± 4.832 ± 5.50.013
Current smoking, n ()22 (10.4)14 (10.9)8 (9.5)0.741
Dyslipidaemia, n ()100 (47.2)58 (45.3)42 (50.0)0.504
Hypertension, n ()158 (75.0)91 (71.1)67 (79.8)0.157
Type 2 diabetes mellitus, n ()63 (29.7)34 (26.6)29 (34.5)0.215
Previous heart failure, n ()40 (18.9)29 (22.7)11 (13.1)0.082
Previous stroke, n ()20 (9.4)14 (10.9)6 (7.1)0.355
Previous ischemic heart disease, n ()47 (22.2)29 (22.7)18 (21.4)0.833
Previous peripheral arterial disease, n ()16 (7.5)11 (8.6)5 (6.0)0.476
Previous pulmonary disease, n ()51 (24.1)33 (25.8)18 (21.4)0.468
Previous renal disease, n ()27 (12.7)18 (14.1)9 (10.7)0.474
Previous hepatic disease, n ()1 (0.5)1 (0.8)01
Previous neoplasm, n ()22 (10.4)11(8.6)11 (13.1)0.293
Charlson score1.3 ± 1.51.4 ± 1.51.3 ± 1.40.505
Alcohol intake, grams per day4.2 ± 7.14.2 ± 7.54.2 ± 6.50.951
Regular vitamin K intake138 (65.1)76 (59.4)62 (73.8)0.031
Persistent or permanent atrial fibrillation, n ()128 (60.4)84 (65.6)44 (52.4)0.054
SAMe-TT2R2 score1.3 ± 1.01.2 ±0.91.3 ± 1.10.522
Age < 60 years, n ()15 (7.1)7 (5.5)8 (9.5)0.260
Medical history, n ()64 (30.2)38 (29.7)26 (31.0)0.844
Treatment (interacting medications), n ()58 (27.4)35 (27.3)23 (27.4)0.995
Non-Caucasian race, n ()1 (0.5)1 (0.8)01
Number of active medications7.3 ± 3.07.6 ± 3.16.9 ± 2.90.088
≥ 7 active medications ()112 (52.8)72 (56.3)40 (47.6)0.218
Estimated glomerular filtration rate, ml/min/1.73m273.6 ± 26.472.6 ± 24.675.2 ±29.10.487

TTR, time in therapeutic range; CI, confidence interval. Medical history: hypertension, diabetes mellitus, ischemic heart disease, peripheral arterial disease, heart failure, previous stroke, pulmonary disease, and liver or renal disease. Number of active medications: number of tablets taken per day apart from VKA. 7 corresponds to the median value of number of active medications.