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A Study of Hospital Healthcare Use and Cost in Patients in the Hospital With a Venous Thromboembolism (VTE) Treated With Apixaban or Warfarin in the US

Completed
Conditions
Venous Thromboembolism (VTE)
Registration Number
NCT04141228
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

A study involving real-world database analysis to evaluate the hospital healthcare utilization and costs, and all-cause, major bleeding-, clinically relevant bleeding-, any bleeding-, and venous thromboembolism (VTE)-related hospital readmissions among hospitalized VTE patients treated with apixaban or warfarin, with or without low molecular weight heparin (LMWH)

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
28000
Inclusion Criteria
  • Have a primary diagnosis of VTE identified by ICD-9-CM or ICD-10 codes from the Premier Hospital database between 01-Aug-2014 and 31-May-2016
  • Age 18 years or older as of index hospitalization with VTE diagnosis
  • Patients will be required to have received apixaban or warfarin with or without LMWH (index drugs) during the index hospitalizations
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Exclusion Criteria
  • Received both apixaban and warfarin during the index hospitalization. This exclusion criterion will allow to cleanly group patients into the apixaban and warfarin usage cohorts.
  • Received any other Direct oral anticoagulants (DOAC) including rivaroxaban, dabigatran, and edoxaban during the index hospitalization
  • Have any primary or secondary diagnosis code for Atrial fibrillation/Atrial flutter (AF/AFL), or pregnancy, or records of inferior vena cava filter (IVCF) usage during the index hospitalizations or the baseline periods.
  • Patients transferred from other facilities

Other protocol-defined inclusion/exclusion criteria could apply

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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Hospital Length of stay (LOS)During the index hospitalization (Up to 30 days)
Hospital costDuring the index hospitalization (Up to 30 days)
Secondary Outcome Measures
NameTimeMethod
Proportion of patients with major bleeding (MB)-related hospital readmissionsDuring 1 month after the index hospitalization
Proportion of patients with any bleeding-related hospital readmissionsDuring 1 month after the index hospitalization
Proportion of patients with VTE-related hospital readmissionsDuring 1 month after the index hospitalization
Hospital LOS for clinically relevant bleeding-related hospital readmissionsDuring 1 month following the VTE hospitalization
Mean number of hospital readmissions for clinically relevant bleeding-related hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital costs of readmissions for any bleeding-related hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital charges of readmissions for combined VTE- or MB-related hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital charges of readmissions for all-cause hospital readmissionsDuring 1 month following the VTE hospitalization
Proportion of patients with all-cause hospital readmissionsDuring 1 month after the index hospitalization
Hospital Length of stay (LOS) for major bleeding-related hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital charges of readmissions for major bleeding-related hospital readmissionsDuring 1 month following the VTE hospitalization]
Mean number of hospital readmissions for any bleeding-related hospital readmissionsDuring 1 month following the VTE hospitalization
Mean number of hospital readmissions for all-cause hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital costs of readmissions for major bleeding-related hospital readmissionsDuring 1 month following the VTE hospitalization
Mean number of hospital readmissions for VTE-related hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital LOS for combined VTE- or MB-related hospital readmissionsDuring 1 month following the VTE hospitalization
Proportion of patients with combined VTE- or MB-related hospital readmissionsDuring 1 month after the index hospitalization
Proportion of patients with clinically relevant bleeding (CRB)-related hospital readmissionsDuring 1 month after the index hospitalization
Mean number of hospital readmissions for major bleeding-related hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital costs of readmissions for clinically relevant bleeding-related hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital charges of readmissions for clinically relevant bleeding-related hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital LOS for any bleeding-related hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital charges of readmissions for any bleeding-related hospital readmissionsDuring 1 month following the VTE hospitalization
Mean number of hospital readmissions for combined VTE- or MB-related hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital LOS for VTE-related hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital costs of readmissions for VTE-related hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital charges of readmissions for VTE-related hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital costs of readmissions for combined VTE- or MB-related hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital LOS for all-cause hospital readmissionsDuring 1 month following the VTE hospitalization
Hospital costs of readmissions for all-cause hospital readmissionsDuring 1 month following the VTE hospitalization

Trial Locations

Locations (1)

Local Institution

🇺🇸

Flemington, New Jersey, United States

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