GI bleeding risk associated with simultaneous use of oral glucocorticoids with NOACs: BMJ
Concomitant use of non-vitamin K oral anticoagulants (NOAC) and oral glucocorticoids significantly associated with increased risk of gastrointestinal bleeding, suggests a study published in the Heart- BMJ journal.
Gastrointestinal bleeding (GIB) risk in relation to concomitant treatment with non-vitamin K oral anticoagulants (NOAC) and oral glucocorticoids is insufficiently explored.
A study was conducted by Holt A et. al to investigate the short-term risk following co-exposure of non-vitamin K oral anticoagulants (NOAC) and oral glucocorticoids
The researchers conducted a nationwide Danish study including patients with atrial fibrillation on NOACs during 2012–2018. Patients were defined as exposed to oral glucocorticoids if they claimed a prescription within 60 days prior to Gastrointestinal bleeding (GIB). They investigated the associations between Gastrointestinal bleeding (GIB) and oral glucocorticoid exposure, reporting HRs via a nested case-control design and absolute risk via a cohort design. Matching terms were age, sex, calendar year, follow-up time and non-vitamin K oral anticoagulant (NOAC) agent.
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