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Table 4 Multivariate analysis of risk factors for bleeding after endoscopic sphincterotomy

From: Direct oral anticoagulants increase bleeding risk after endoscopic sphincterotomy: a retrospective study

Multivariate analysis

Bleeding n = 21

No bleeding n = 503

Univariate analysis, p value

Multivariate analysis, p value

Odds ratio

95% CI

Age > 80 years

16 (76.0%)

205 (40.8%)

0.002

0.024

3.36

1.17–9.65

Underlying disease

 Cardiovascular disease

1 (5.0%)

37 (7.4%)

0.99

   

 Stroke

1 (5.0%)

22 (4.4%)

0.99

 Liver cirrhosis

0

9 (1.8%)

0.99

DOAC use

6 (29.0%)

36 (7.2%)

0.004

0.011

3.95

1.37–11.4

Combination of DOAC and antiplatelet drugs

2 (10.0%)

10 (2.0%)

0.079

   

Platelet count < 100,000/µl

5 (24.0%)

17 (3.4%)

0.001

0.001

6.74

2.1–21.6

ERCP findings

 Periampullary diverticulum

7 (33.0%)

140 (27.8%)

0.622

   

 Precut

1 (5.0%)

4 (0.8%)

0.186

 Lithotripsy

14 (67.0%)

364 (72.4%)

0.62

 EPLBD

3 (14.0%)

27 (5.4%)

0.112

 SEMS

3 (14.0%)

49 (9.7%)

0.453

  1. Area under the ROC curve: 0.748; Multicollinearity: < 5
  2. CI Confidence interval, DOAC direct oral anticoagulant, EPLBD endoscopic papillary large balloon dilation, ENBD endoscopic naso-biliary drainage, SEMS self-expandable metallic stent, ROC receiver-operating characteristic