Results from the Registry of Atrial Fibrillation (AFABE): Gap between Undiagnosed and Registered Atrial Fibrillation in Adults—Ineffectiveness of Oral Anticoagulation Treatment with VKA
Joint Authors
Panisello-Tafalla, Anna
Clua-Espuny, Josep Lluís
Gil-Guillen, Vicente F.
González-Henares, Antonia
Queralt-Tomas, María Lluisa
López-Pablo, Carlos
Lucas-Noll, Jorgina
Lechuga-Duran, Iñigo
Ripolles-Vicente, Rosa
Carot-Domenech, Jesús
López, Miquel Gallofré
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-01
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Objective.
This study aimed to examine the effectiveness of the use of oral anticoagulation (OAC) medication, recommended by national guidelines for stroke prevention but reportedly underused in AF patients with moderate to high stroke risk.
Method.
A multicentre and cross-sectional study of undiagnosed AF among out-of-hospital patients over 60 years old was carried out, visiting 3,638 patients at primary health centres or at home for AF diagnosis using the IDC-10 classification.
The main outcome measures were CHA2DS2VASC, HAS-BLED scores, cardiovascular comorbidity, pharmacological information, TTR, and SAMe-TT2R2 scores.
Results.
The main findings were undiagnosed AF in 26.44% of cases; 31.04% registered with AF but not using OAC despite 95.6% having a CHA2DS2VASC≥2 score; a risk of bleeding in important subgroups using OAC without indication (37.50% CHA2DS2VASC<2 score); the use of OAC with TTR < 60% (33.1%), of whom 47.6% had a HAS-BLED score ≥3.
Thus, 35.4% of the expected AF prevalence achieved an optimal time in the therapeutic range.
Conclusions.
The expected AF prevalence was 10.9% (n 5267), but the registered prevalence was 7.5% (n 3638).
Only 35.04% (CI = 95%, 33.7–36.3) of AF patients treated with vitamin K antagonists (VKAs) achieve the goal of TTR > 60%.
American Psychological Association (APA)
Panisello-Tafalla, Anna& Clua-Espuny, Josep Lluís& Gil-Guillen, Vicente F.& González-Henares, Antonia& Queralt-Tomas, María Lluisa& López-Pablo, Carlos…[et al.]. 2015. Results from the Registry of Atrial Fibrillation (AFABE): Gap between Undiagnosed and Registered Atrial Fibrillation in Adults—Ineffectiveness of Oral Anticoagulation Treatment with VKA. BioMed Research International،Vol. 2015, no. 2015, pp.1-11.
https://search.emarefa.net/detail/BIM-1054312
Modern Language Association (MLA)
Panisello-Tafalla, Anna…[et al.]. Results from the Registry of Atrial Fibrillation (AFABE): Gap between Undiagnosed and Registered Atrial Fibrillation in Adults—Ineffectiveness of Oral Anticoagulation Treatment with VKA. BioMed Research International No. 2015 (2015), pp.1-11.
https://search.emarefa.net/detail/BIM-1054312
American Medical Association (AMA)
Panisello-Tafalla, Anna& Clua-Espuny, Josep Lluís& Gil-Guillen, Vicente F.& González-Henares, Antonia& Queralt-Tomas, María Lluisa& López-Pablo, Carlos…[et al.]. Results from the Registry of Atrial Fibrillation (AFABE): Gap between Undiagnosed and Registered Atrial Fibrillation in Adults—Ineffectiveness of Oral Anticoagulation Treatment with VKA. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-11.
https://search.emarefa.net/detail/BIM-1054312
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1054312