Adherence to antithrombotic therapy guidelines and atrial fibrillation in a rural hospital: a clinical audit.

Abstract:

INTRODUCTION:Atrial fibrillation (AF) is a major risk factor for ischaemic stroke and a common presentation in general practice. Scoring systems to guide antithrombotic treatment have been available since 1996, with the CHA2DS2-VASC in current use; however, little is known about adherence to guidelines in rural general practice. The purpose of this study was to determine whether patients in a rural population and with documented history of AF are prescribed antithrombotic treatment according to recognised guidelines. METHODS:A retrospective cohort study of inpatients was performed at a rural country hospital in South Australia. All patients with an ICD-10 CM code at the time of discharge were selected from June 2008 to July 2013. This included both newly diagnosed AF as well cases with existing history of AF. RESULTS:Among the 59 patients studied, 77% of patients received appropriate anticoagulation according to CHADS2 score and 83% according to CHA2DS2-VASC score. CONCLUSIONS:This study confirms that the guidelines are routinely followed in clinical practice in this rural population.

journal_name

Rural Remote Health

journal_title

Rural and remote health

authors

Aziz H,Mills D,Newbury J

doi

10.22605/RRH4342

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

4342

issue

1

issn

1445-6354

pii

4342

journal_volume

19

pub_type

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