Garcia-Sempere et al.; Spain; 2019 [38] | Cross-sectional study | 22,629 | - 53% of women and 49.3% of men had poor INR control with TTR ≤ 65%. - Women, long-term antiplatelet users, use of alcohol and concomitant comorbidities are associated with poor INR control. | Women are with a higher risk of poor INR control. |
Jaakkola et al.; Finland; 2017 [3] | Clinical trial | 13,618 | - Chronic medical conditions such as heart failure, chronic kidney disease, mechanical heart valve prosthesis and active cancer are permanent risk factors of excessive warfarin anticoagulation. - Chemotherapeutic agents, antibiotic and antifungal treatment are temporary risk factors of excessive warfarin anticoagulation - Active smoking and alcohol abuse are risk factors of excessive warfarin anticoagulation. | Identifying these risk factors is helpful in the early detection and prevention of supratherapeutic INR. |
Katada et al.; Japan; 2019 [68] | Retrospective observational study | 58 | - The maximum INR of prothrombin time (PT-INR) and warfarin sensitivity index (WSI) are significantly higher in patients who are fasting during the postoperative period compared to those with no dietary intake reduction. | Postoperative fasting is significantly associated with INR control. |
Liang et al.; China; 2019 [24] | Prospective registry study | 1895 | - Age ≥ 70 years, use of a single drug, bleeding history and lack of assessment of bleeding risk is associated with TTR < 70%. - Peripheral arterial disease, coronary artery disease and diabetes mellitus are associated with increased variability of INR. | Warfarin anticoagulation in Chinese patients with NVAF is associated with lower TTR than in current guidelines and affected by multiple risk factors. |
Martin-Perez et al.; Spain; 2019 [35] | Nested case-control study | 12,506 | - Multiple factors, including low socioeconomic status and residency in rural areas are associated with poor INR control. | Low socioeconomic status and residency in rural areas are associated with poor INR control. |
Numao et al.; Japan; 2017 [22] | Cohort study | 626 | - Older age ≥ 75 years is an independent predictor of high INR variability | Identifying the factors related to high INR variability in AF patients may assist the clinician in identifying patients likely to show unstable INR control. |
Ohara et al.; Japan; 2019 [50] | Prospective cohort study | 309 | - African American patients have 30% lower S-warfarin clearance [CL(S)] compared to Asian and White patients - Half maximal effective concentration (EC50) showed a greater racial difference than CL(S). - Age, weight, sex and African American ethnicity are significant predictors of INR | African American has higher warfarin requirement than Asian and White patients |
Praxedes et al.; Brazil; 2019 [54] | Retrospective cohort study | 312 | - Assistance for warfarin administration, female gender, absenteeism and non-compliance are associated with TTR ≤ 60% | Patient’s behaviour towards treatment influence the TTR. |
Prochaska et al.; Germany; 2019 [29] | Cohort study | 760 | - Female sex and living alone are independent risk factors of INR control - Self-management of warfarin therapy is a protective factor. | Women and living alone patients have a higher risk of low-quality warfarin therapy. |
Schaefer et al.; Switzerland; 2016 [80] | Cohort study | 15,834 | - High intensity of therapeutic range, female sex, intervals of more than 14 days between measurements and management other than PSM are predictors of poor INR control. | Several factors influence poor INR control in PSM cohort. |