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April 1, 2020Open Access

Association between body mass index and the risk of bleeding in elderly patients with non-valvular atrial fibrillation taking dabigatran: a cohort study.

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Why the study?

Uncertainty remains regarding the association between body mass index and bleeding risk in patients with non-valvular atrial fibrillation.

Is body mass index associated with the risk of bleeding in elderly patients with non-valvular atrial fibrillation taking dabigatran?

Population

509 elderly NVAF patients taking dabigatran at twelve centers in China

Comparison

Baseline BMI

Design

Multicenter cohort study

Follow-up

Six months

Key result

Every 1 kg/m2 increase in body mass index was associated with a 12% increased risk of bleeding (HR 1.12) in elderly patients with non-valvular atrial fibrillation treated with dabigatran.

Authors

MLMinghui LiLHLihua HuYXYurong Xiong

Discussion

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Member takes

Overview

May warrant BMI-informed bleeding vigilance in elderly NVAF on dabigatran; leaves open causality and prospective validation.

Study Design

Type

Cohort (n=509)

Multicenter

Yes

Structured PICO

Is body mass index associated with the risk of bleeding in elderly patients with non-valvular atrial fibrillation taking dabigatran?

P
Population
509 elderly patients (aged ≥ 60 years) with non-valvular atrial fibrillation taking dabigatran, followed for 6 months.
E
Exposure
Body mass index (BMI) at baseline (exposure)
O
Outcome
Bleeding events within the subsequent six monthssafety

Main Result

Hazard Ratio: 1.12 (95% CI 1.02–1.24)

p-value: p=0.021

Higher body mass index is associated with an increased risk of bleeding in elderly patients with non-valvular atrial fibrillation treated with dabigatran.

Limitations

  • Observational nature and potential selection bias due to excluding participants without complete data
  • Potential residual confounding despite adjusting for a range of variables
  • Relatively few underweight patients, limiting generalizability
  • Relatively short follow-up period of six months

Cite This Study

Li et al. (2020) conducted a cohort in Non-valvular atrial fibrillation (n=509). Body mass index (BMI) vs. Lower BMI was evaluated on Bleeding events within six months (HR 1.12, 95% CI 1.02-1.24, p=0.021). Every 1 kg/m2 increase in body mass index was associated with a 12% increased risk of bleeding (HR 1.12) in elderly patients with non-valvular atrial fibrillation treated with dabigatran.

synapsesocial.com/papers/6a7734fa2e130d02afec6f60https://doi.org/10.11909/j.issn.1671-5411.2020.04.008
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