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Table 1 Baseline characteristics of participants by frailty category

From: Clinical outcomes in patients with atrial fibrillation and frailty: insights from the ENGAGE AF-TIMI 48 trial

 

Frailty category

 

All

Fit

Pre-fail

Mild-moderate

Severe

n (%)

20,867

4459 (21.4)

12,326 (59.1)

3722 (17.8)

360 (1.7)

Mean frailty index (SD)

0.18 (0.07)

0.09 (0.02)

0.18 (0.03)

0.28 (0.03)

0.40 (0.03)

Demographics

 Age, n (%)

  < 60 years

2748 (13.2)

739 (16.6)

1671 (13.6)

319 (8.6)

19 (5.3)

  60–69 years

5875 (28.2)

1245 (27.9)

3583 (29.1)

979 (26.3)

68 (18.9)

  70–79

8716 (41.8)

1795 (40.3)

5111 (41.5)

1641 (44.1)

169 (46.9)

  80+ years

3528 (16.9)

680 (15.3)

1961 (15.9)

783 (21.0)

104 (28.9)

 Female sex, n (%)

7940 (38.1)

1470 (33.0)

4685 (38.0)

1619 (43.5)

166 (46.1)

 Region, n (%)

  North America

4654 (22.3)

721 (16.2)

2639 (21.4)

1153 (31.0)

141 (39.2)

  Latin America

2647 (12.7)

898 (20.1)

1484 (12.0)

252 (6.8)

13 (3.6)

  Western Europe

3091 (14.8)

743 (16.7)

1804 (14.6)

492 (13.2)

52 (14.4)

  Eastern Europe

7105 (34.0)

1143 (25.6)

4392 (35.6)

1442 (38.7)

128 (35.6)

  Asia-Pacific and South Africa

3370 (16.1)

954 (21.4)

2007 (16.3)

383 (10.3)

26 (7.2)

Clinical

 Paroxysmal AF, n (%)

5311 (25.5)

1073 (24.1)

3195 (25.9)

958 (25.8)

85 (23.6)

 Qualifying risk factor, n (%)

  Age ≥ 75

8356 (40.0)

1799 (40.3)

4693 (38.1)

1669 (44.8)

195 (54.2)

  Prior stroke or TIA

5909 (28.3)

988 (22.2)

3345 (27.1)

1398 (37.6)

178 (49.4)

  Congestive heart failure

11,967 (57.3)

1993 (44.7)

7075 (57.4)

2601 (69.9)

298 (82.8)

  Diabetes mellitus

7546 (36.2)

825 (18.5)

4478 (36.3)

1989 (53.4)

254 (70.6)

  Hypertension

19,454 (93.2)

4083 (91.6)

11,518 (93.4)

3506 (94.2)

347 (96.4)

 CHADS2 score

  Mean score (SD)

2.83 (0.98)

2.39 (0.67)

2.80 (0.91)

3.37 (1.11)

4.03 (1.19)

  ≤ 3, n (%)

16,167 (77.5)

4099 (91.9)

9739 (79.0)

2193 (58.9)

136 (37.8)

  4–6, n (%)

4699 (22.5)

360 (8.1)

2587 (21.0)

1528 (41.1)

224 (62.2)

 Dose reduction*, n (%)

5302 (25.4)

1020 (22.9)

2885 (23.4)

1237 (33.2)

160 (44.4)

  Cr clearance ≤ 50 ml/min

3975 (19.2)

613 (13.9)

2119 (17.3)

1083 (29.5)

160 (45.5)

  Weight ≤ 60 kg

2063 (9.9)

524 (11.8)

1182 (9.6)

341 (9.2)

16 (4.4)

  Use of verapamil or qunidine

701 (3.4)

183 (4.1)

394 (3.2)

116 (3.1)

8 (2.2)

 Previous VKA for ≥ 60 days, n (%)

12,305 (59.0)

2509 (56.3)

7241 (58.7)

2303 (61.9)

252 (70.0)

Medication at time of randomisation, n (%)

 Aspirin

6121 (29.3)

1107 (24.8)

3650 (29.6)

1234 (33.2)

130 (36.1)

 Thienopyridine

480 (2.3)

62 (1.4)

264 (2.1)

140 (3.8)

14 (3.9)

 Amiodarone

2441 (11.7)

501 (11.2)

1397 (11.3)

489 (13.1)

54 (15.0)

 Digoxin or digitalis preparation

6271 (30.1)

1269 (28.5)

3713 (30.1)

1172 (31.5)

117 (32.5)

Treatment allocation, n (%)

 Warfarin

6957 (33.3)

1479 (33.2)

4130 (33.5)

1230 (33.0)

118 (32.8)

 Edoxaban 30 mg

6956 (33.3)

1473 (33.0)

4122 (33.4)

1247 (33.5)

114 (31.7)

 Edoxaban 60 mg

6954 (33.3)

1507 (33.8)

4074 (33.1)

1245 (33.4)

128 (35.6)

  1. Abbreviations: AF atrial fibrillation, Cr creatinine, SD standard deviation, TIA transient ischaemic attack, VKA vitamin K antagonist
  2. *At randomisation