Adherence to anticoagulant guideline for atrial fibrillation: A large care gap among stroke patients in a rural population.
Journal
Journal of the neurological sciences
ISSN: 1878-5883
Titre abrégé: J Neurol Sci
Pays: Netherlands
ID NLM: 0375403
Informations de publication
Date de publication:
15 May 2021
15 May 2021
Historique:
received:
26
01
2021
revised:
12
03
2021
accepted:
18
03
2021
pubmed:
27
3
2021
medline:
15
5
2021
entrez:
26
3
2021
Statut:
ppublish
Résumé
This study aimed to investigate the prevalence and factors associated with oral anticoagulant undertreatment of atrial fibrillation (AF) among a cohort of rural patients with stroke outcomes and examine how undertreatment may influence a patient's one-year survival after stroke. This retrospective cohort study examined ischemic stroke patients with pre-stroke AF diagnosis from September 2003 to May 2019 and divided them into proper treatment and undertreatment group. Analysis included chi-square test, variance analysis, Kruskal-Wallis test, logistic regression, Kaplan-Meier estimator, and Cox proportional-hazards model. Out of 1062 ischemic stroke patients with a pre-stroke AF diagnosis, 1015 patients had a CHA More than half of our rural stroke patients with a pre-index AF diagnosis were not on guideline-recommended treatment. The study highlights a large care gap and an opportunity to improve AF management.
Identifiants
pubmed: 33770707
pii: S0022-510X(21)00103-9
doi: 10.1016/j.jns.2021.117410
pii:
doi:
Substances chimiques
Anticoagulants
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
117410Informations de copyright
Copyright © 2021 Elsevier B.V. All rights reserved.