The American Journal of Medicine

The NOACS: Secondary Safety Outcomes

Continuing with the same meta-analysis as in the previous Figures,[17] looking at secondary safety outcomes, there appears to be a definite difference between the specific bleeding outcomes.  There was a clear reduction, about 50%, in intracranial hemorrhage (ICH) with all of the NOACs in the trials.  On the other hand, there also appears to be a significant excess in gastrointestinal (GI) bleeding with these agents, compared with warfarin.     

Bhatt D. Am J Med 2014; 00.

References

[17]

Ruff CT, Giugliano RP, Braunwald E, et al. Comparison of the efficacy and safety of new oral anticoagulants with warfarin in patients with atrial fibrillation: a meta-analysis of randomised trials. Lancet. 2014;383:955-962.