Document Detail


Community-based study of atrial fibrillation and stroke prevention.
MedLine Citation:
PMID:  15055913     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The benefits of anticoagulation and antiplatelet agents for stroke prevention in atrial fibrillation (AF) have been established. There is little data on the use of this form of stroke prevention in patients with AF in Ireland. To determine whether adequate stroke prevention measures are taken regarding anticoagulation and aspirin use for patients in the community with chronic AF. Audit of general medical services (GMS) patients with atrial fibrillation in two Dublin general practices. A total of 70 patients with AF were identified from 2684 GMS patients in the two practices: contraindications to anticoagulation were established in 26 of these. In those for whom warfarin was indicated, 21 of 44 (47%) were not anticoagulated. In those not anticoagulated and where aspirin was not contra-indicated, 20 of 42 were not on aspirin. Our study found that almost one third of patients with AF could be anticoagulated but were not, and the alternative of aspirin was only used in just over one half of patients. This represents a lost opportunity for stroke prevention. Various approaches should be explored to remedy this.
Authors:
S White; J Feely; D O'Neill
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Irish medical journal     Volume:  97     ISSN:  0332-3102     ISO Abbreviation:  Ir Med J     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-04-01     Completed Date:  2004-04-15     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0430275     Medline TA:  Ir Med J     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  10-2     Citation Subset:  IM    
Affiliation:
Dept Medical Gerontology, Trinity Centre for Health Sciences, Adelaide and Meath Hospital, Dublin.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Anticoagulants / therapeutic use*
Aspirin / therapeutic use*
Atrial Fibrillation / diagnosis,  drug therapy*
Attitude of Health Personnel
Clinical Competence
Cohort Studies
Community Health Services
Family Practice / standards,  trends
Female
Health Care Surveys
Humans
Ireland
Male
Middle Aged
Outcome Assessment (Health Care)*
Physician's Practice Patterns / statistics & numerical data*
Risk Assessment
Stroke / epidemiology,  prevention & control*
Warfarin / therapeutic use
Chemical
Reg. No./Substance:
0/Anticoagulants; 50-78-2/Aspirin; 81-81-2/Warfarin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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