Pulmonary vascular disease & thromboembolism

Recurrent venous thromboembolism and bleeding with extended anticoagulation: the VTE-PREDICT risk score

Eur Heart JPublished Prediction model development and external validation study

An erratum to this article was published (Eur Heart J, 3 Aug 2024 ↗)

Authors' conclusion

The VTE-PREDICT risk score can be applied to estimate the effect of extended anticoagulant treatment for individual patients with VTE and to support shared decision-making.

Study context

Population
Patients with venous thromboembolism (VTE) without cancer who completed at least 3 months of initial treatment
Outcome
Prediction of recurrent VTE and clinically relevant bleeding (non-major and major)
Follow-up
Up to 5 years
Methodological detailsindividual patient data, competing risk-adjusted models, Models use 14 readily available patient characteristics; absolute treatment effects estimated by combining the models with HRs from trials and meta-analyses
  • Individual patient data
  • Competing risk-adjusted models
  • Models use 14 readily available patient characteristics; absolute treatment effects estimated by combining the models with HRs from trials and meta-analyses

Performance

As reported in the abstract

External validation: discrimination (C-statistic)
Test or modelC-statistic, recurrenceC-statistic, bleeding
External validation0.48-0.710.61-0.68

External validation

C-statistic, recurrence0.48-0.71
C-statistic, bleeding0.61-0.68

Further findings

OutcomeDerivationExternal validation
Events
Recurrences2202283
Bleeding events1893335

Predicted 5-year risks in the Danish VTE cohort · up to 5 years

Recurrent VTE, range
4% to 19%
Bleeding, range
1% −19%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Recurrent venous thromboembolism and bleeding with extended anticoagulation: the VTE-PREDICT risk score. Eur Heart J. Published 17 January 2023. doi:10.1093/eurheartj/ehac776

Composed by AI from the published abstract and checked against it. How Briefs are made →

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