Impact of female gender on bleeding complications after transradial coronary intervention (from the Korean transradial coronary intervention registry)

Jeoung Sook Shin, Seung Jea Tahk, Hyoung Mo Yang, Myeong Ho Yoon, So Yeon Choi, Byoung Joo Choi, Hong Seok Lim, You Hong Lee, Kyoung Woo Seo, Se Jun Park, Yong Woo Choi, Junghan Yoon, Young Jin Youn, Byung Ryeol Cho, Kwang Soo Cha, Kyoo Rok Han, Min Su Hyon, Seung-Woon Rha, Byung Ok Kim, Won Yong Shin & 3 others Keum Soo Park, Sang Sig Cheong, Myung Ho Jeong

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Besides poor clinical outcomes, female gender has been known as a high-risk factor for bleeding complications. This study aimed to investigate the impact of gender on clinical outcomes and bleeding complications after transradial coronary intervention (TRI). The Korean TRI registry is a retrospective multicenter registry with 4,890 patients who underwent percutaneous coronary intervention in 2009 at 12 centers. To compare clinical outcomes and bleeding complications between the male and female groups, we performed a propensity score matching in patients who received TRI. A total of 1,194 patients (597 in each group) were studied. The primary outcome was 1-year major adverse cardiac events, including all-cause mortality, myocardial infarction, target vessel revascularization, and stroke. The secondary outcome was major bleeding (composite of bleeding requiring transfusion of ≥2 units of packed cells or bleeding that was fatal). The proportion of major adverse cardiac events was similar between the 2 groups (6.2% vs 4.7%, p = 0.308). The female group had a greater incidence of major bleeding (0.3% vs 3.2%, p <0.001). On multivariate analysis, female gender (odds ratio [OR] 7.748, 95% confidence interval [CI] 1.767 to 13.399), age ≥75 years (OR 5.824, 95% CI 2.085 to 16.274), and chronic kidney disease (OR 7.264, 95% CI 2.369 to 12.276) were independent predictors of major bleeding. In conclusion, the female gender had a tendency for more bleeding complications than male gender after TRI without difference in the clinical outcome.

Original languageEnglish
Pages (from-to)2002-2006
Number of pages5
JournalAmerican Journal of Cardiology
Volume113
Issue number12
DOIs
Publication statusPublished - 2014 Jun 15

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Registries
Hemorrhage
Odds Ratio
Confidence Intervals
Propensity Score
Percutaneous Coronary Intervention
Chronic Renal Insufficiency
Multivariate Analysis
Stroke
Myocardial Infarction
Mortality
Incidence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

Cite this

Impact of female gender on bleeding complications after transradial coronary intervention (from the Korean transradial coronary intervention registry). / Shin, Jeoung Sook; Tahk, Seung Jea; Yang, Hyoung Mo; Yoon, Myeong Ho; Choi, So Yeon; Choi, Byoung Joo; Lim, Hong Seok; Lee, You Hong; Seo, Kyoung Woo; Park, Se Jun; Choi, Yong Woo; Yoon, Junghan; Youn, Young Jin; Cho, Byung Ryeol; Cha, Kwang Soo; Han, Kyoo Rok; Hyon, Min Su; Rha, Seung-Woon; Kim, Byung Ok; Shin, Won Yong; Park, Keum Soo; Cheong, Sang Sig; Jeong, Myung Ho.

In: American Journal of Cardiology, Vol. 113, No. 12, 15.06.2014, p. 2002-2006.

Research output: Contribution to journalArticle

Shin, JS, Tahk, SJ, Yang, HM, Yoon, MH, Choi, SY, Choi, BJ, Lim, HS, Lee, YH, Seo, KW, Park, SJ, Choi, YW, Yoon, J, Youn, YJ, Cho, BR, Cha, KS, Han, KR, Hyon, MS, Rha, S-W, Kim, BO, Shin, WY, Park, KS, Cheong, SS & Jeong, MH 2014, 'Impact of female gender on bleeding complications after transradial coronary intervention (from the Korean transradial coronary intervention registry)', American Journal of Cardiology, vol. 113, no. 12, pp. 2002-2006. https://doi.org/10.1016/j.amjcard.2014.03.042
Shin, Jeoung Sook ; Tahk, Seung Jea ; Yang, Hyoung Mo ; Yoon, Myeong Ho ; Choi, So Yeon ; Choi, Byoung Joo ; Lim, Hong Seok ; Lee, You Hong ; Seo, Kyoung Woo ; Park, Se Jun ; Choi, Yong Woo ; Yoon, Junghan ; Youn, Young Jin ; Cho, Byung Ryeol ; Cha, Kwang Soo ; Han, Kyoo Rok ; Hyon, Min Su ; Rha, Seung-Woon ; Kim, Byung Ok ; Shin, Won Yong ; Park, Keum Soo ; Cheong, Sang Sig ; Jeong, Myung Ho. / Impact of female gender on bleeding complications after transradial coronary intervention (from the Korean transradial coronary intervention registry). In: American Journal of Cardiology. 2014 ; Vol. 113, No. 12. pp. 2002-2006.
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abstract = "Besides poor clinical outcomes, female gender has been known as a high-risk factor for bleeding complications. This study aimed to investigate the impact of gender on clinical outcomes and bleeding complications after transradial coronary intervention (TRI). The Korean TRI registry is a retrospective multicenter registry with 4,890 patients who underwent percutaneous coronary intervention in 2009 at 12 centers. To compare clinical outcomes and bleeding complications between the male and female groups, we performed a propensity score matching in patients who received TRI. A total of 1,194 patients (597 in each group) were studied. The primary outcome was 1-year major adverse cardiac events, including all-cause mortality, myocardial infarction, target vessel revascularization, and stroke. The secondary outcome was major bleeding (composite of bleeding requiring transfusion of ≥2 units of packed cells or bleeding that was fatal). The proportion of major adverse cardiac events was similar between the 2 groups (6.2{\%} vs 4.7{\%}, p = 0.308). The female group had a greater incidence of major bleeding (0.3{\%} vs 3.2{\%}, p <0.001). On multivariate analysis, female gender (odds ratio [OR] 7.748, 95{\%} confidence interval [CI] 1.767 to 13.399), age ≥75 years (OR 5.824, 95{\%} CI 2.085 to 16.274), and chronic kidney disease (OR 7.264, 95{\%} CI 2.369 to 12.276) were independent predictors of major bleeding. In conclusion, the female gender had a tendency for more bleeding complications than male gender after TRI without difference in the clinical outcome.",
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T1 - Impact of female gender on bleeding complications after transradial coronary intervention (from the Korean transradial coronary intervention registry)

AU - Shin, Jeoung Sook

AU - Tahk, Seung Jea

AU - Yang, Hyoung Mo

AU - Yoon, Myeong Ho

AU - Choi, So Yeon

AU - Choi, Byoung Joo

AU - Lim, Hong Seok

AU - Lee, You Hong

AU - Seo, Kyoung Woo

AU - Park, Se Jun

AU - Choi, Yong Woo

AU - Yoon, Junghan

AU - Youn, Young Jin

AU - Cho, Byung Ryeol

AU - Cha, Kwang Soo

AU - Han, Kyoo Rok

AU - Hyon, Min Su

AU - Rha, Seung-Woon

AU - Kim, Byung Ok

AU - Shin, Won Yong

AU - Park, Keum Soo

AU - Cheong, Sang Sig

AU - Jeong, Myung Ho

PY - 2014/6/15

Y1 - 2014/6/15

N2 - Besides poor clinical outcomes, female gender has been known as a high-risk factor for bleeding complications. This study aimed to investigate the impact of gender on clinical outcomes and bleeding complications after transradial coronary intervention (TRI). The Korean TRI registry is a retrospective multicenter registry with 4,890 patients who underwent percutaneous coronary intervention in 2009 at 12 centers. To compare clinical outcomes and bleeding complications between the male and female groups, we performed a propensity score matching in patients who received TRI. A total of 1,194 patients (597 in each group) were studied. The primary outcome was 1-year major adverse cardiac events, including all-cause mortality, myocardial infarction, target vessel revascularization, and stroke. The secondary outcome was major bleeding (composite of bleeding requiring transfusion of ≥2 units of packed cells or bleeding that was fatal). The proportion of major adverse cardiac events was similar between the 2 groups (6.2% vs 4.7%, p = 0.308). The female group had a greater incidence of major bleeding (0.3% vs 3.2%, p <0.001). On multivariate analysis, female gender (odds ratio [OR] 7.748, 95% confidence interval [CI] 1.767 to 13.399), age ≥75 years (OR 5.824, 95% CI 2.085 to 16.274), and chronic kidney disease (OR 7.264, 95% CI 2.369 to 12.276) were independent predictors of major bleeding. In conclusion, the female gender had a tendency for more bleeding complications than male gender after TRI without difference in the clinical outcome.

AB - Besides poor clinical outcomes, female gender has been known as a high-risk factor for bleeding complications. This study aimed to investigate the impact of gender on clinical outcomes and bleeding complications after transradial coronary intervention (TRI). The Korean TRI registry is a retrospective multicenter registry with 4,890 patients who underwent percutaneous coronary intervention in 2009 at 12 centers. To compare clinical outcomes and bleeding complications between the male and female groups, we performed a propensity score matching in patients who received TRI. A total of 1,194 patients (597 in each group) were studied. The primary outcome was 1-year major adverse cardiac events, including all-cause mortality, myocardial infarction, target vessel revascularization, and stroke. The secondary outcome was major bleeding (composite of bleeding requiring transfusion of ≥2 units of packed cells or bleeding that was fatal). The proportion of major adverse cardiac events was similar between the 2 groups (6.2% vs 4.7%, p = 0.308). The female group had a greater incidence of major bleeding (0.3% vs 3.2%, p <0.001). On multivariate analysis, female gender (odds ratio [OR] 7.748, 95% confidence interval [CI] 1.767 to 13.399), age ≥75 years (OR 5.824, 95% CI 2.085 to 16.274), and chronic kidney disease (OR 7.264, 95% CI 2.369 to 12.276) were independent predictors of major bleeding. In conclusion, the female gender had a tendency for more bleeding complications than male gender after TRI without difference in the clinical outcome.

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