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Table 4 Use of anticoagulants in acute ischemic stroke patients with and without atrial fibrillation by regions

From: Geographic differences in pharmacotherapy patterns and outcomes of acute ischemic stroke in China

 

All

East

Northeast

Central

West

P

With atrial fibrillation

n = 429

n = 204

n = 143

n = 61

n = 21

 

Anticoagulants

189 (44.1)

93 (45.6)

52 (36.4)

33 (54.1)

11 (52.4)

0.08

 Heparin

5 (1.2)

1 (0.5)

2 (1.4)

2 (3.3)

0

0.264

 LMWH

84 (19.6)

40 (19.6)

21 (14.7)

19 (31.1)

4 (19.0)

0.068

 Warfarin

72 (16.8)

43 (21.1)

3 (2.1)

18 (29.5)

8 (38.1)

< 0.001

 NOAC

57 (13.3)

27 (13.2)

28 (19.6)

2 (3.3)

0

0.001

 Fondaparinux sodium

1 (0.2)

0

0

1 (1.6)

0

0.191

OR (95% CI)

 

 Crude

 

Ref.

0.68 (0.44–1.06)

1.41 (0.79–2.50)

1.31 (0.53–3.23)

 

 Adjusted

 

Ref.

0.65 (0.41–1.04)

1.42 (0.77–2.61)

1.21 (0.47–3.12)

 

Without atrial fibrillation

n = 9544

n = 4602

n = 2409

n = 1963

n = 570

 

Anticoagulants

874 (9.2)

387 (8.4)

169 (7.0)

278 (14.2)

40 (7.0)

< 0.001

 Heparin

144 (1.5)

47 (1.0)

20 (0.8)

74 (3.8)

3 (0.5)

< 0.001

 LMWH

629 (6.6)

293 (6.4)

130 (5.4)

188 (9.6)

18 (3.2)

< 0.001

 Warfarin

112 (1.2)

59 (1.3)

8 (0.3)

22 (1.1)

23 (4.0)

< 0.001

 NOAC

45 (0.5)

25 (0.5)

14 (0.6)

5 (0.3)

1 (0.2)

0.280

 Fondaparinux sodium

1 (0.01)

0

1 (0.04)

0

0

0.518

OR (95% CI)

 Crude

 

Ref.

0.82 (0.68–0.99)*

1.80(1.53–2.12)**

0.82 (0.59–1.15)

 

 Adjusted

 

Ref.

0.78 (0.64–0.95)*

1.62(1.36–1.92)**

0.76 (0.54–1.06)

 
  1. *P < 0.05, **P < 0.01
  2. LMWH: low molecular weight heparin; NOAC: non-vitamin K oral anticoagulants
  3. Adjusted for demographics (age, sex, medical insurance), medical history (hypertension, diabetes, dyslipidemia, history of stroke including previous ischemic stroke and/or hemorrhagic stroke, coronary artery disease, and history of tumors), clinical features of the index stroke including National Institutes of Health Stroke Scale score and Glasgow Coma Scale score on admission, and hospital level