Table 1.

Bleeding and VTE recurrence events in initial therapeutic and follow-up dose reduction period

Initial therapeutic periodMean (SD)Follow-up DR periodMean (SD)
Duration, mo 7.8 (3.1) Duration, mo 10.8 (2.4) 
Complications Complications 
Recurrent VTE Recurrent VTE 
Any bleeds 12 Any bleeds 
Major bleeds Major bleeds 2  
CRNM bleeds CRNM bleeds 
Minor bleeds Minor bleeds 
Initial therapeutic periodMean (SD)Follow-up DR periodMean (SD)
Duration, mo 7.8 (3.1) Duration, mo 10.8 (2.4) 
Complications Complications 
Recurrent VTE Recurrent VTE 
Any bleeds 12 Any bleeds 
Major bleeds Major bleeds 2  
CRNM bleeds CRNM bleeds 
Minor bleeds Minor bleeds 

SD, standard deviation.

Two major bleeds on dose reduced apixaban include a patient with a gastrointestinal bleed from a large tubular adenoma, who, after initially bleeding on therapeutic anticoagulation, was found once again to have a drop in hemoglobin 8.5 months after dose reduction. The other major bleed was a patient with an acute on chronic subdural hematoma of unknown chronicity 5.5 months after dose reduction.

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