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January 1, 2016European Neurological ReviewOpen Access

Improving Patient Outcomes in Preventing Atrial Fibrillation-related Stroke with Non-Vitamin K Antagonist Oral Anticoagulants

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Key result

Non-vitamin K antagonist oral anticoagulants significantly reduced the risk of stroke or systemic embolic events compared to warfarin (RR 0.81, p<0.0001) in patients with atrial fibrillation.

Why the study?

Do non-vitamin K antagonist oral anticoagulants reduce stroke or systemic embolic events compared to warfarin in patients with atrial fibrillation?

Population

Patients with atrial fibrillation at risk of stroke

Comparison

Non-vitamin K antagonist oral anticoagulants… vs Warfarin

Design

Review

Authors

PKPeter J. KellyCMCarlos A. MolinaCRChristian T. Ruff

Discussion

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Overview

Supports NOAC preference over warfarin in AF; leaves open edoxaban ICH benefits pending higher-certainty trials.

Structured PICO

Do non-vitamin K antagonist oral anticoagulants reduce stroke or systemic embolic events compared to warfarin in patients with atrial fibrillation?

P
Population
A review of four large clinical trials comprising 71,683 patients with atrial fibrillation, comparing non-vitamin K antagonist oral anticoagulants to warfarin for stroke prevention.
I
Intervention
Non-vitamin K antagonist oral anticoagulants (NOACs), including dabigatran, rivaroxaban, apixaban, and edoxaban
C
Comparator
Warfarin
O
Outcome
Stroke or systemic embolic eventshard clinical

Main Result

Relative Risk: 0.81

p-value: p=<0.0001

NOACs, particularly edoxaban, provide effective stroke prevention in atrial fibrillation while significantly reducing the risk of major bleeding and intracranial hemorrhage compared to warfarin.

Limitations

  • The article reports the proceedings of a sponsored satellite symposium and has not been subject to the journal's usual peer-review process.

Cite This Study

Kelly et al. (2016) conducted a review in Atrial fibrillation (n=71,683). Non-vitamin K antagonist oral anticoagulants (NOACs) vs. Warfarin was evaluated on Stroke or systemic embolic events (RR 0.81, p=<0.0001). Non-vitamin K antagonist oral anticoagulants significantly reduced the risk of stroke or systemic embolic events compared to warfarin (RR 0.81, p<0.0001) in patients with atrial fibrillation.

synapsesocial.com/papers/6a1293ad1d9aa3bb4e34644fhttps://doi.org/10.17925/enr.2016.11.01.1a
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Edoxaban versus Warfarin in Patients with Atrial Fibrillation2013 · 5,199 citations
  2. 2Rivaroxaban versus Warfarin in Nonvalvular Atrial Fibrillation2011 · 9,485 citations
  3. 3Apixaban versus Warfarin in Patients with Atrial Fibrillation2011 · 8,999 citations
  4. 4Risk Factors for Intracranial Hemorrhage in Outpatients Taking Warfarin1994 · 921 citations
  5. 5Guidelines for the management of atrial fibrillation2010 · 5,887 citations