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The purpose of the study is to describe patient characteristics and drug usage among patients that are prescribed ticagrelor for the first time and to compare them with patients who are prescribed clopidogrel and prasugrel for the first time.
A further purpose is to ascertain and estimate the crude incidence rate of bleeding, arrhythmias, heart failure, acute renal failure, acute liver failure, dyspnoea and gout among new users in the three cohorts of ticagrelor, clopidogrel and prasugrel.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exposure Group 1 | First time users of ticagrelor |
| |
| Exposure Group 2 | First time users of clopidogrel |
| |
| Exposure Group 3 | First time users of prasugrel |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Risk of selected safety events | Drug | First time users of ticagrelor, clopidogrel and prasugrel, respectively |
|
| Measure | Description | Time Frame |
|---|---|---|
| Drug utilization: Description of patient characteristics and drug usage | Up to one year after entry into study cohort |
| Measure | Description | Time Frame |
|---|---|---|
| Follow-up of safety outcomes: First occurrence of bleeding, arrhythmias, heart failure, acute renal failure, acute liver failure, dyspnoea and gout | Up to one year after entry into study cohort. |
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Inclusion Criteria:
Exclusion Criteria:
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All patients aged 20 to 84 years before their first study drug dispension (start date) will be included in the study. The study period will start the first month after ticagrelor market introduction in Sweden (the first of June 2011),
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| Name | Affiliation | Role |
|---|---|---|
| Helle Kieler, MD, PhD, Assoc Prof | Centre for Pharmacoepidemiology, Karolinska Institute, Stockholm | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Stockholm | Sweden |
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| Label | URL |
|---|---|
| SynopsisD5130N0010 | View source |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| D058186 | Acute Kidney Injury |
| D017114 | Liver Failure, Acute |
| D004417 | Dyspnea |
| D006073 | Gout |
| D054058 | Acute Coronary Syndrome |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
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| D014570 |
| Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D017093 | Liver Failure |
| D048550 | Hepatic Insufficiency |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070657 | Crystal Arthropathies |
| D012216 | Rheumatic Diseases |
| D011686 | Purine-Pyrimidine Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D017202 | Myocardial Ischemia |
| D014652 | Vascular Diseases |