From the Literature

 

Published: Dec 2018

Association of oral anticoagulants and proton pump inhibitor cotherapy with hospitalization for upper gastrointestinal tract bleeding.
Ray WA, Chung CP, Murray KT, et al.
JAMA 2018;320:2221-2230.
Pub Med
NATA rating :

 

REVIEW by:
B. J. Hunt

 

NATA REVIEW:
A huge study showing that during 754 389 person-years of anticoagulant treatment with apixaban, dabigatran, rivaroxaban, and warfarin, the risk of hospitalization for upper gastrointestinal tract bleeding was highest for rivaroxaban.

The use of proton pump inhibitor cotherapy (264 447 person-years) was associated with a significantly lower overall risk of gastrointestinal bleeding for all anticoagulants (incidence rate ratio, 0.66).

– Beverely J. Hunt