StudyParticipants and indicationsDemographicsPrediction of major bleeding by risk group
Beyth, 1998 (n = 820)1 Patients discharged on warfarin therapy (VTE, 47%; cardiac surgery, 18%; other, 35%)Mean age = 60 years; 53% womenOne-year bleeding risk using OBRI:
Low risk: 3%
Intermediate risk: 12%
High risk: 48%
Kuijer, 1999 (n = 1,021)4 Patients discharged on warfarin therapy after diagnosis of VTEMean age = 61 years; 51% men90-day bleeding risk:
Low risk: 1%
High risk: 7%
Wells, 2003 (n = 222)2 Pulmonary embolism or deep venous thrombosis; started on low-molecular-weight heparin as outpatients and then switched to warfarinMean age = 58 years; 43% womenBleeding risk per person-year using OBRI:
Low risk: 0%
Intermediate risk: 4.3%
High risk: not applicable*
Aspinall, 2005 (n = 1,269)3 Patients treated with warfarin at a Veterans Affairs anticoagulation clinicMean age = 68 years; 92% menBleeding risk per person-year using OBRI:
Low risk: 0.8%
Intermediate risk: 2.5%
High risk: 10.6%
Shireman, 2006 (n = 26,345)5 Registry of patients hospitalized with atrial fibrillation and discharged on warfarin therapyAll 65 years or older (88% 70 years or older); 53% women90-day bleeding risk
Shireman rule:
Low risk: 0.9%
Intermediate risk: 2.0%
High risk: 5.4%
Intermediate- plus high-risk: 2.3%
OBRI:
Intermediate risk: 1.0%
High risk: 2.5%
Kuijer rule:
Intermediate risk: 1.5%
High risk: 1.8%