Major Bleeding Risk Associated With Antithrombotics

NCT ID: NCT02886533

Last Updated: 2023-11-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

6484 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-01-01

Study Completion Date

2015-12-31

Brief Summary

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Prospective, multicenter, observational study with a three-year inclusion period (from January 1, 2012 to December 31, 2015) and a 6-month follow-up

Detailed Description

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All adults subjects living in the five well-defined areas affiliated to the French National Health Insurance System and having had at least one reimbursement of any antithrombotic in the 3-year study period are identified by using data from the National Health reimbursement database (Système National d'Information Inter-Régimes de l'Assurance Maladie, SNIIR-AM). SNIIR-AM contains individualized, anonymous and comprehensive data for all health spending reimbursements of affiliated subjects, including basic patient demographic data, medical drugs as well as outpatient medical care, prescribed or performed by health-care professionals from both public and private practices. This allows to calculate a denominator (number of person-years of anti-thrombotic drug exposure).

Crude incidence rates of major bleeding per 100 person-months are calculated in antithrombotic users, anticoagulants and others; stratification on a modified HAS-BLED score allows fair comparison between anti-thrombotic drug classes.

Conditions

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Major Haemorrhage

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Antithrombotic

Collection of clinical, biological data

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient with major bleeding event associated with antithrombotic drug
* Patient older than 18 years old
* Information on 1 and 6-month follow-up is given pending non-opposition letter

Exclusion Criteria

* Patients with major bleeding events associated with antithrombotic during hospitalization
* Patients with intentional overdose with antithrombotic drugs
* Patients with multi-trauma
* Patients living outside the defined influence areas of the five participating cities
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rennes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Clinique de l'Anjou

Angers, , France

Site Status

CHU d'Angers

Angers, , France

Site Status

Hôpital Inter-Armées

Brest, , France

Site Status

CHU de Brest

Brest, , France

Site Status

Hôpital Privé Sévigné

Cesson-Sévigné, , France

Site Status

Clinique des Cèdres

Échirolles, , France

Site Status

Groupe Hospitalier Mutualiste

Grenoble, , France

Site Status

CHU de Grenoble

Grenoble, , France

Site Status

CHU de Nantes

Nantes, , France

Site Status

Nouvelles Cliniques Nantaises

Nantes, , France

Site Status

CHU de Rennes

Rennes, , France

Site Status

Centre Hospitalier Privé

Saint-Grégoire, , France

Site Status

Countries

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France

References

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Bouget J, Balusson F, Roy PM, Viglino D, Pavageau L, Lacut K, Oger E. Management of epistaxis associated with oral antithrombotic drugs in emergency department and impact on prescription thereafter. Clin Otolaryngol. 2023 May;48(3):457-464. doi: 10.1111/coa.14040. Epub 2023 Feb 28.

Reference Type DERIVED
PMID: 36789614 (View on PubMed)

Bouget J, Balusson F, Kerbrat S, Roy PM, Viglino D, Lacut K, Pavageau L, Oger E. Clinical use of low-dose parenteral anticoagulation, incidence of major bleeding and mortality: a multi-centre cohort study using the French national health data system. Eur J Clin Pharmacol. 2022 Jul;78(7):1137-1144. doi: 10.1007/s00228-022-03318-x. Epub 2022 Apr 6.

Reference Type DERIVED
PMID: 35385975 (View on PubMed)

Bouget J, Balusson F, Viglino D, Roy PM, Lacut K, Pavageau L, Oger E. Major bleeding risk and mortality associated with antiplatelet drugs in real-world clinical practice. A prospective cohort study. PLoS One. 2020 Aug 7;15(8):e0237022. doi: 10.1371/journal.pone.0237022. eCollection 2020.

Reference Type DERIVED
PMID: 32764775 (View on PubMed)

Bouget J, Balusson F, Maignan M, Pavageau L, Roy PM, Lacut K, Scailteux LM, Nowak E, Oger E. Major bleeding risk associated with oral anticoagulant in real clinical practice. A multicentre 3-year period population-based prospective cohort study. Br J Clin Pharmacol. 2020 Dec;86(12):2519-2529. doi: 10.1111/bcp.14362. Epub 2020 Jun 1.

Reference Type DERIVED
PMID: 32415705 (View on PubMed)

Other Identifiers

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35RC12_8986_SACHA

Identifier Type: -

Identifier Source: org_study_id

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