
Leibniz Institute for Prevention Research and Epidemiology - BIPS GmbH
- Achterstrasse 30
- D-28359 Bremen
- Tel: +49 (0)421 218-56750
- Fax: +49 (0)421 218-56941
Institute director
Prof. Dr. Iris Pigeot
Phenprocoumon associated bleeding
Description
- Phenprocoumon (e.g. Marcumar®) is an anticoagulant which is for instance used to treat patients with venous thrombosis or artificial heart valves or to prevent cardiac embolism in patients with atrial fibrillation. The most important adverse drug effects of phenprocoumon are bleedings. Phenprocoumon may cause bleedings including life threatening bleedings, even if it was adequately dosed and administered. There are only few studies that have investigated phenprocoumon use and bleedings, because outside of Germany warfarin is used instead of phenprocoumon. Results of the numerous warfarin studies are transferred to phenprocoumon although it is well known that the drugs have different pharmacokinetic properties.
Aim of this project is to investigate the incidence of bleeding events (cerebral, gastrointestinal, urogenital) in patients treated with phenprocoumon and to identify risk factors for phenprocoumon associated bleeding including comorbidity and concomitant drug use.
Funding period
- Begin: January 2007
End: December 2013
Contact
- Sigrid Behr
Sponsor
Selected project-related publications
Articles with peer-review
- Behr, Sigrid; Schill, Walter; Pigeot, Iris (2012). Does additional confounder information alter the estimated risk of bleeding associated with phenprocoumon use - Results of a two-phase study. Pharmacoepidemiology and Drug Safety, 21 (5):535 - 545. http://dx.doi.org/10.1002/pds.3193.
- Behr, Sigrid; Andersohn, Frank; Garbe, Edeltraut (2010). Risk of intracerebral hemorrhage associated with phenprocoumon exposure: A nested case-control study in a large population-based German database. Pharmacoepidemiology and Drug Safety, 19 (7):722 - 730. http://dx.doi.org/10.1002/pds.1973.
Presentations at scientific meetings/conferences
- Behr, Sigrid; Andersohn, Frank; Garbe, Edeltraut (2009). Risk of cerebral hemorrhage in patients treated with phenprocoumon. 4. Jahrestagung der Deutschen Gesellschaft für Epidemiologie (DGEpi), 16.-19. September 2009, Münster
- Behr, Sigrid; Andersohn, Frank; Garbe, Edeltraut (2009). Untersuchung des Blutungsrisikos unter Phenprocoumon-Behandlung anhand von Routinedaten deutscher Krankenversicherungen. 54. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (GMDS), 7.-10. September 2009, Essen. (Abstract publiziert in German Medical Science/ GMS Publishing House; 2009: DOC09gmds026)
Posters at scientific meetings/conferences
- Behr, Sigrid; Andersohn, Frank; Garbe, Edeltraut (2010). Phenprocoumon exposure and risk of intracerebral bleeding. 26th International Conference on Pharmacoepidemiology & Therapeutic Risk Management (ICPE), 19.-22. August 2010, Brighton, England
- Behr, Sigrid; Garbe, Edeltraut (2010). Risk of subarachnoid hemorrhage associated with outpatient anticoagulant use. 26th International Conference on Pharmacoepidemiology & Therapeutic Risk Management (ICPE), 19.-22. August 2010, Brighton, England
- Behr, Sigrid; Andersohn, Frank; Garbe, Edeltraut (2009). Treatment with phenprocoumon and the risk of upper gastrointestinal (GI) hemorrhage. 4. Jahrestagung der Deutschen Gesellschaft für Epidemiologie (DGEpi), 16.-19. September 2009, Münster