To analyze the occurrence and clinical characteristics of bleeding induced by rivaroxaban in order to provide reference for clinical medication.
Bleeding adverse reaction literature from CNKI, VIP, Chinese Hospital Data Library, Wanfang, PubMed and EMBase since the listing of rivaroxaban were collected and analyzed.
A total of 51 effective literature of report cases regarding bleeding ADR induced by rivaroxaban, involving 59 patients, were identified and included in the analysis. The majority of patients were over 60 years old (51 cases, 86.44%). Most of bleeding occurred within 30 days after medication (27 cases, 45.76%). Cerebral hemorrhage was commonly seen (15 cases, 25.42%). Conventional treatment is mostly applied (26 cases, 44.07%). In terms of treatment outcome, most bleeding stopped within 1 to 7 days (29 cases, 49.15%). There were 6 deaths, the majority of which occurred within 14 days of admission (5 cases, 83.33%).
The bleeding ADR induced by rivaroxaban need to be highly valued in clinical, and drug monitoring need to be strengthened to reduce the occurrence of fatal bleeding ADR.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |