DOACs compared with each other
HR (95% CI)
DOACs compared with warfarin
HR (95% CI)
Apix vs riva Apix vs dabi Dabi vs riva Apix vs warfarin Dabi vs warfarin Riva vs warfarin
All-cause mortality 1.57 (1.46-1.68) 1.42 (1.33-1.52) 1.10 (1.03-1.19) 1.15 (1.08-1.23) 0.81 (0.76-0.87) 0.74 (0.69-0.79)
Ischemic stroke 1.83 (1.52-2.21) 1.37 (1.15-1.63) 1.34 (1.09-1.63) 1.56 (1.30-1.87) 1.14 (0.94-1.38) 0.85 (0.69-1.04)
Bleeding            
Any major 0.65 (0.59-0.72) 0.93 (0.83-1.05) 0.70 (0.63-0.78) 0.53 (0.47–0.59) 0.57 (0.51-0.63) 0.81 (0.74-0.89)
GI bleeding 0.73 (0.64-0.83) 0.82 (0.72-0.94) 0.88 (0.78-0.99) 0.60 (0.53-0.68) 0.73 (0.65-0.83) 0.83 (0.74-0.93)
Hemorrhagic stroke 0.56 (0.32-0.99) 1.35 (0.67-2.70) 0.42 (0.23-0.78) 0.23 (0.14-0.38) 0.17 (0.10-0.30) 0.40 (0.27-0.60)
Acute MI 0.93 (0.80-1.07) 1.34 (1.14-1.56) 0.69 (0.60-0.81) 1.06 (0.90-1.20) 0.79 (0.67-0.93) 1.14 (0.99-1.31)
Acute heart failure 1.00 (0.95-1.05) 1.10 (1.04-1.16) 0.91 (0.86-0.96) 0.87 (0.83-0.92) 0.79 (0.75-0.83) 0.87 (0.83-0.92)

No head-to-head clinical trials have been conducted comparing the efficacy and safety of DOACs versus DOACs.