Table 1

Annual risks and severity of bleeds and haemorrhagic stroke, by anticoagulant treatment received

No treatmentAspirinNOAC*†Warfarin*
ICH0.2%0.5%0.3%0.8%
 HS§0.1%0.3%0.2%0.5%
 Other ICH0.1%0.2%0.1%0.3%
ECH2.0%2.5%2.7%3.1%
 GI bleed0.8%1.0%1.1%1.3%
 Other ECH1.2%1.4%1.6%1.8%
All major bleeds2.2%2.9%3.1%3.8%
CRNM bleed5.3%6.9%7.9%9.5%
HS severityMild: 28%; moderate: 23%; severe: 12% fatal: 37%14 15
Case fatalitiesDue to other ICH: 13%, due to ECH: 2%14 15
  • *NOAC was used as treatment in base-case analysis and warfarin was considered in sensitivity analysis.

  • †A class effect was assumed by taking the average across apixaban, dabigatran (low and high dose), rivaroxaban, edoxaban (low and high dose).11

  • ‡ICHs (59.7%) were assumed to be HS.14 15

  • §HS risk was adjusted by a factor of 1.97 (95% CI 1.79 to 2.16) per decade.31

  • ¶ECHs (41.8%) were assumed to be GI bleeds.14 15

  • CRNM, clinically relevant non-major;ECH, extracranial haemorrhage;GI, gastrointestinal;HS, haemorrhagic stroke;ICH, extracranial haemorrhage;NOAC, new oral anticoagulant.