Adherence to antithrombotic therapy guidelines and atrial fibrillation in a rural hospital: A clinical audit
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 CHA DS -VASC in current use; however, little is known about adherence to guidel...
Gespeichert in:
| Veröffentlicht in: | Rural and remote health 2019-01, Vol.19 (1), p.1-5 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 5 |
|---|---|
| container_issue | 1 |
| container_start_page | 1 |
| container_title | Rural and remote health |
| container_volume | 19 |
| creator | Aziz, Huma Mills, David Newbury, Jonathan |
| description | 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 CHA DS -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 CHADS score and 83% according to CHA DS -VASC score. Conclusions: This study confirms that the guidelines are routinely followed in clinical practice in this rural population. |
| doi_str_mv | 10.22605/RRH4342 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2194590065</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><informt_id>10.3316/informit.144591875590084</informt_id><sourcerecordid>2675656719</sourcerecordid><originalsourceid>FETCH-LOGICAL-c412t-f6aea5a64fda1745cd488d4a45033896c5615eab5e5faf07adde55ac418432233</originalsourceid><addsrcrecordid>eNpdkV1rFDEUhoMotrYFf4EEvPFmbb5nxrulqBUKhVKvw9nkTDdLZrImmYv-e7PtasWrhPM-5_Ml5D1nn4UwTF_e3V0rqcQrcsqV0isjtXr9z_-EvCtlx5joWC_ekhPJ-n4YDDslce23mHF2SGuiMNdQtzlNm1SDo7VJsH-kD0vwGMOMpRGeQs0BIh3DJocYoYY00zBToHnJLb5NZR8qxC90TV3LCq4FYfGhnpM3I8SCF8f3jPz89vX-6np1c_v9x9X6ZuUUF3U1GkDQYNTogXdKO6_63itQmknZD8ZpwzXCRqMeYWQdeI9aQ0vulRRCyjPy6bnuPqdfC5Zqp1ActllnTEuxgg9KD4wZ3dCP_6G7tOS5TWeF6bTRpuPDS0GXUykZR7vPYYL8aDmzTw7YowMN_XAsuGwm9H_BPydvwP0zkKdQrUsxojucsOygFlsQstvaMI_pSU_5wfoUDn2k5OZFOHg78L7Th0Xa3r8BXraekA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2675656719</pqid></control><display><type>article</type><title>Adherence to antithrombotic therapy guidelines and atrial fibrillation in a rural hospital: A clinical audit</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Aziz, Huma ; Mills, David ; Newbury, Jonathan</creator><creatorcontrib>Aziz, Huma ; Mills, David ; Newbury, Jonathan</creatorcontrib><description>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 CHA DS -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 CHADS score and 83% according to CHA DS -VASC score. Conclusions: This study confirms that the guidelines are routinely followed in clinical practice in this rural population.</description><identifier>ISSN: 1445-6354</identifier><identifier>EISSN: 1445-6354</identifier><identifier>DOI: 10.22605/RRH4342</identifier><identifier>PMID: 30889960</identifier><language>eng</language><publisher>Townsville QLD: James Cook University</publisher><subject>Aged ; Anticoagulants ; Antithrombins ; Aspirin ; Atrial fibrillation ; Atrial Fibrillation - drug therapy ; Cardiac arrhythmia ; Clinical Audit ; Female ; Fibrinolytic Agents - administration & dosage ; Fibrinolytic Agents - therapeutic use ; Guideline Adherence - statistics & numerical data ; Health services ; Heart ; Hospitals ; Hospitals, Rural - statistics & numerical data ; Humans ; Hypertension ; Ischemia ; Male ; Middle Aged ; Population ; Practice Guidelines as Topic - standards ; Prevention ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Rural areas ; Rural health care ; Rural health services ; Rural populations ; South Australia ; Stroke ; Stroke - prevention & control ; Thrombosis ; Treatment</subject><ispartof>Rural and remote health, 2019-01, Vol.19 (1), p.1-5</ispartof><rights>2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,861,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30889960$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aziz, Huma</creatorcontrib><creatorcontrib>Mills, David</creatorcontrib><creatorcontrib>Newbury, Jonathan</creatorcontrib><title>Adherence to antithrombotic therapy guidelines and atrial fibrillation in a rural hospital: A clinical audit</title><title>Rural and remote health</title><addtitle>Rural Remote Health</addtitle><description>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 CHA DS -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 CHADS score and 83% according to CHA DS -VASC score. Conclusions: This study confirms that the guidelines are routinely followed in clinical practice in this rural population.</description><subject>Aged</subject><subject>Anticoagulants</subject><subject>Antithrombins</subject><subject>Aspirin</subject><subject>Atrial fibrillation</subject><subject>Atrial Fibrillation - drug therapy</subject><subject>Cardiac arrhythmia</subject><subject>Clinical Audit</subject><subject>Female</subject><subject>Fibrinolytic Agents - administration & dosage</subject><subject>Fibrinolytic Agents - therapeutic use</subject><subject>Guideline Adherence - statistics & numerical data</subject><subject>Health services</subject><subject>Heart</subject><subject>Hospitals</subject><subject>Hospitals, Rural - statistics & numerical data</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Ischemia</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Population</subject><subject>Practice Guidelines as Topic - standards</subject><subject>Prevention</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Rural areas</subject><subject>Rural health care</subject><subject>Rural health services</subject><subject>Rural populations</subject><subject>South Australia</subject><subject>Stroke</subject><subject>Stroke - prevention & control</subject><subject>Thrombosis</subject><subject>Treatment</subject><issn>1445-6354</issn><issn>1445-6354</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkV1rFDEUhoMotrYFf4EEvPFmbb5nxrulqBUKhVKvw9nkTDdLZrImmYv-e7PtasWrhPM-5_Ml5D1nn4UwTF_e3V0rqcQrcsqV0isjtXr9z_-EvCtlx5joWC_ekhPJ-n4YDDslce23mHF2SGuiMNdQtzlNm1SDo7VJsH-kD0vwGMOMpRGeQs0BIh3DJocYoYY00zBToHnJLb5NZR8qxC90TV3LCq4FYfGhnpM3I8SCF8f3jPz89vX-6np1c_v9x9X6ZuUUF3U1GkDQYNTogXdKO6_63itQmknZD8ZpwzXCRqMeYWQdeI9aQ0vulRRCyjPy6bnuPqdfC5Zqp1ActllnTEuxgg9KD4wZ3dCP_6G7tOS5TWeF6bTRpuPDS0GXUykZR7vPYYL8aDmzTw7YowMN_XAsuGwm9H_BPydvwP0zkKdQrUsxojucsOygFlsQstvaMI_pSU_5wfoUDn2k5OZFOHg78L7Th0Xa3r8BXraekA</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Aziz, Huma</creator><creator>Mills, David</creator><creator>Newbury, Jonathan</creator><general>James Cook University</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20190101</creationdate><title>Adherence to antithrombotic therapy guidelines and atrial fibrillation in a rural hospital: A clinical audit</title><author>Aziz, Huma ; Mills, David ; Newbury, Jonathan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-f6aea5a64fda1745cd488d4a45033896c5615eab5e5faf07adde55ac418432233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Anticoagulants</topic><topic>Antithrombins</topic><topic>Aspirin</topic><topic>Atrial fibrillation</topic><topic>Atrial Fibrillation - drug therapy</topic><topic>Cardiac arrhythmia</topic><topic>Clinical Audit</topic><topic>Female</topic><topic>Fibrinolytic Agents - administration & dosage</topic><topic>Fibrinolytic Agents - therapeutic use</topic><topic>Guideline Adherence - statistics & numerical data</topic><topic>Health services</topic><topic>Heart</topic><topic>Hospitals</topic><topic>Hospitals, Rural - statistics & numerical data</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Ischemia</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Population</topic><topic>Practice Guidelines as Topic - standards</topic><topic>Prevention</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Rural areas</topic><topic>Rural health care</topic><topic>Rural health services</topic><topic>Rural populations</topic><topic>South Australia</topic><topic>Stroke</topic><topic>Stroke - prevention & control</topic><topic>Thrombosis</topic><topic>Treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aziz, Huma</creatorcontrib><creatorcontrib>Mills, David</creatorcontrib><creatorcontrib>Newbury, Jonathan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Rural and remote health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aziz, Huma</au><au>Mills, David</au><au>Newbury, Jonathan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adherence to antithrombotic therapy guidelines and atrial fibrillation in a rural hospital: A clinical audit</atitle><jtitle>Rural and remote health</jtitle><addtitle>Rural Remote Health</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>19</volume><issue>1</issue><spage>1</spage><epage>5</epage><pages>1-5</pages><issn>1445-6354</issn><eissn>1445-6354</eissn><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 CHA DS -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 CHADS score and 83% according to CHA DS -VASC score. Conclusions: This study confirms that the guidelines are routinely followed in clinical practice in this rural population.</abstract><cop>Townsville QLD</cop><pub>James Cook University</pub><pmid>30889960</pmid><doi>10.22605/RRH4342</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1445-6354 |
| ispartof | Rural and remote health, 2019-01, Vol.19 (1), p.1-5 |
| issn | 1445-6354 1445-6354 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2194590065 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Anticoagulants Antithrombins Aspirin Atrial fibrillation Atrial Fibrillation - drug therapy Cardiac arrhythmia Clinical Audit Female Fibrinolytic Agents - administration & dosage Fibrinolytic Agents - therapeutic use Guideline Adherence - statistics & numerical data Health services Heart Hospitals Hospitals, Rural - statistics & numerical data Humans Hypertension Ischemia Male Middle Aged Population Practice Guidelines as Topic - standards Prevention Retrospective Studies Risk Assessment Risk Factors Rural areas Rural health care Rural health services Rural populations South Australia Stroke Stroke - prevention & control Thrombosis Treatment |
| title | Adherence to antithrombotic therapy guidelines and atrial fibrillation in a rural hospital: A clinical audit |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-18T20%3A28%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Adherence%20to%20antithrombotic%20therapy%20guidelines%20and%20atrial%20fibrillation%20in%20a%20rural%20hospital:%20A%20clinical%20audit&rft.jtitle=Rural%20and%20remote%20health&rft.au=Aziz,%20Huma&rft.date=2019-01-01&rft.volume=19&rft.issue=1&rft.spage=1&rft.epage=5&rft.pages=1-5&rft.issn=1445-6354&rft.eissn=1445-6354&rft_id=info:doi/10.22605/RRH4342&rft_dat=%3Cproquest_cross%3E2675656719%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2675656719&rft_id=info:pmid/30889960&rft_informt_id=10.3316/informit.144591875590084&rfr_iscdi=true |