Table 3.
The net clinical benefit of warfarin therapy overall and by individual risk factors using different weights for ICH
| ICH weight = 1.5 (base case) | ICH weight = 1 | ICH weight = 2 | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Risk Factor | Risk Factor Level |
Net Clinical Benefit |
95% CI | Net Clinical Benefit |
95% CI | Net Clinical Benefit |
95% CI | |||
| LCL | UCL | LCL | UCL | LCL | UCL | |||||
| All Patients | All Patients | 0.68 | 0.34 | 0.87 | 0.80 | 0.51 | 0.96 | 0.56 | 0.18 | 0.77 |
| Age Group | <65 | (0.25) | (0.65) | 0.08 | (0.15) | (0.48) | 0.14 | (0.35) | (0.81) | 0.05 |
| 65-74 | 0.11 | (0.37) | 0.40 | 0.27 | (0.16) | 0.55 | (0.05) | (0.58) | 0.27 | |
| 75-84 | 1.00 | 0.44 | 1.40 | 1.09 | 0.59 | 1.44 | 0.92 | 0.29 | 1.34 | |
| ≥ 85 | 2.34 | 1.29 | 3.30 | 2.51 | 1.62 | 3.37 | 2.17 | 0.93 | 3.18 | |
| Sex | Male | 0.13 | (0.23) | 0.37 | 0.28 | (0.03) | 0.49 | (0.02) | (0.43) | 0.25 |
| Female | 1.44 | 0.90 | 1.75 | 1.52 | 1.02 | 1.79 | 1.35 | 0.75 | 1.72 | |
| Prior Stroke | N | 0.56 | 0.22 | 0.72 | 0.67 | 0.37 | 0.81 | 0.45 | 0.06 | 0.64 |
| Y | 2.48 | 0.75 | 4.22 | 2.69 | 1.12 | 4.42 | 2.27 | 0.36 | 4.09 | |
| Hypertension | N | 0.74 | 0.35 | 1.02 | 0.81 | 0.47 | 1.06 | 0.66 | 0.22 | 0.99 |
| Y | 0.65 | 0.20 | 0.90 | 0.80 | 0.40 | 1.04 | 0.49 | (0.01) | 0.77 | |
| CHF | N | 0.41 | 0.09 | 0.66 | 0.52 | 0.24 | 0.75 | 0.30 | (0.08) | 0.58 |
| Y | 1.28 | 0.56 | 1.68 | 1.42 | 0.76 | 1.78 | 1.14 | 0.35 | 1.58 | |
| Diabetes | N | 0.59 | 0.25 | 0.82 | 0.72 | 0.42 | 0.92 | 0.46 | 0.06 | 0.72 |
| Y | 1.07 | 0.15 | 1.59 | 1.15 | 0.32 | 1.63 | 0.99 | (0.03) | 1.56 | |
| CHADS2 Score |
0 | (0.11) | (0.44) | 0.20 | (0.07) | (0.38) | 0.20 | (0.14) | (0.53) | 0.21 |
| 1 | 0.19 | (0.27) | 0.45 | 0.33 | (0.06) | 0.57 | 0.06 | (0.50) | 0.34 | |
| 2 | 0.97 | 0.43 | 1.41 | 1.07 | 0.61 | 1.45 | 0.87 | 0.26 | 1.35 | |
| 3 | 2.07 | 1.21 | 2.79 | 2.06 | 1.26 | 2.72 | 2.09 | 1.12 | 2.85 | |
| 4-6 | 2.22 | 0.58 | 3.75 | 2.51 | 1.04 | 4.01 | 1.94 | 0.19 | 3.52 | |
CHF=congestive heart failure; CI=confidence interval; LCL=lower confidence limit; UCL=upper confidence limit; CHADS2 is the acronym for the stroke risk scoring system for patients with atrial fibrillation where C=congestive heart failure, H=hypertension, A=age ≥75 years, D=diabetes, and S=prior stroke (risk factors C, H, A and D are given 1 point each, S is doubly weighted, hence S2)
For ICH weighted as 1, Net Clinical Benefit=(TE rateoff warfarin − TE rateon warfarin) − 1.0 × (ICH rateon warfarin − ICH rateoff warfarin), derived from adjusted rate differences shown in Table 2A
For ICH weighted as 1.5, Net Clinical Benefit=(TE rateoff warfarin − TE rateon warfarin) − 1.5 × (ICH rateon warfarin − ICH rateoff warfarin), derived from adjusted rate differences shown in Table 2A
For ICH weighted as 2, Net Clinical Benefit=(TE rateoff warfarin − TE rateon warfarin) − 2.0 × (ICH rateon warfarin − ICH rateoff warfarin), derived from adjusted rate differences shown in Table 2A