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 3

Unadjusted logistic regression model: predictors of time in therapeutic range <70%.

Odds Ratio95 CIp-value

Clinical variables
Age, years1.020.99 - 1.050.285
Male gender, n ()1.030.60 - 1.790.911
Body mass index, kg/m20.930.88 - 0.990.015
Current smoking, n ()1.170.47 - 2.920.741
Dyslipidaemia, n ()0.830.48 - 1.440.504
Hypertension, n ()0.620.32 - 1.200.158
Type 2 diabetes mellitus, n ()0.690.38 - 1.250.216
Previous heart failure, n ()1.940.91 - 4.150.085
Previous stroke, n ()1.600.59 - 4.330.359
Previous ischemic heart disease, n ()1.070.55 - 2.090.833
Previous peripheral arterial disease, n ()1.490.50 - 4.440.479
Previous pulmonary disease, n ()1.270.66 - 2.450.469
Previous renal disease, n ()1.360.58 - 3.200.476
Previous hepatic disease, n ()---
Previous neoplasm, n ()0.620.26 - 1.510.296
Charlson score1.070.88 - 1.300.504
Alcohol intake, grams per day1.000.96 - 1.040.952
Regular vitamin K intake0.520.28 - 0.950.032
Persistent or permanent atrial fibrillation, n ()1.740.99 - 3.050.055
SAMe-TT2R2 score0.910.68 - 1.210.504
Age < 60 years, n ()0.550.19 - 1.580.266
Medical history, n ()0.940.52 – 1.710.844
Treatment (interacting medications), n ()1.000.54 - 1.850.995
Non-Caucasian race, n ()---
Number of active medications1.090.99 - 1.200.090
≥ 7 active medications ()1.410.81 - 2.460.219
Estimated glomerular filtration rate, ml/min/1.73m21.000.99 - 1.010.487
Genetic variables
VKORC ≥ 1 allele T (n=212)1.160.65 - 2.060.621
CYP2C92 ≥ 1 allele T (n=212)0.900.50 - 1.590.706
CYP2C93 ≥ 1 allele C (n=212)0.850.41 - 1.780.669
MIR133A2 ≥ 1 allele A (n=212)1.130.64 - 2.000.667

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.