Safety of cilostazol in peripheral artery disease: a cohort from a primary healthcare electronic database

Bibliographic Details
Title: Safety of cilostazol in peripheral artery disease: a cohort from a primary healthcare electronic database
Authors: Jordi Real, M Catalina Serna, Maria Giner-Soriano, Rosa Forés, Guillem Pera, Esther Ribes, Maite Alzamora, Josep Ramon Marsal, Antonio Heras, Rosa Morros
Source: BMC Cardiovascular Disorders, Vol 18, Iss 1, Pp 1-7 (2018)
Publisher Information: BMC, 2018.
Publication Year: 2018
Collection: LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: Cilostazol, Pentoxifylline, Peripheral artery disease, Primary healthcare, Electronic health records, Haemorrhage, Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details: Abstract Background Cilostazol has been associated with spontaneous reports of cardiovascular adverse events and serious bleeding. The objective of this study is to determine the relative risk of cardiovascular adverse events or haemorrhages in patients with peripheral artery disease treated with cilostazol in comparison to pentoxifylline users. Methods Population-based cohort study including all individuals older than 40 who initiated cilostazol or pentoxifylline during 2009–2011 in SIDIAP database. The two treatment groups were matched through propensity score (PS). Results Nine thousand one hundred twenty-nine patients met inclusion criteria and after PS matching, there were 2905 patients in each group. 76% of patients were men, with similar mean ages in both groups (68.8 for cilostazol and 69.4 for pentoxifylline). There were no differences in bleeding, cerebrovascular and cardiovascular events between both groups. Conclusions Patients treated with cilostazol were different from those treated with pentoxifylline at baseline, so they were matched through PS. We did not find differences between treatment groups in the incidence of bleeding or cardiovascular and cerebrovascular events. Cilostazol should be used with precaution in elderly polymedicated patients.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2261
Relation: http://link.springer.com/article/10.1186/s12872-018-0822-4; https://doaj.org/toc/1471-2261
DOI: 10.1186/s12872-018-0822-4
Access URL: https://doaj.org/article/a96be718faa544e9865fd03b824704f4
Accession Number: edsdoj.96be718faa544e9865fd03b824704f4
Database: Directory of Open Access Journals
More Details
ISSN:14712261
DOI:10.1186/s12872-018-0822-4
Published in:BMC Cardiovascular Disorders
Language:English