Screening over 100 000 patients in 39 general practices in the Netherlands for anticoagulation underprescription in atrial fibrillation: a descriptive, cross-sectional study.

ABSTRACT:

Objectives

To investigate the underprescription of oral anticoagulation (OAC) in individual atrial fibrillation (AF) patients in primary care.

Setting

Screening of patient records in 39 participating general practitioners (GPs) across the Netherlands.

Participants

We screened 101 207 patient records identifying 2375 non-valvular AF patients.

Methods

Using electronic patient files, we were able to screen the entire GP population for AF, CHA₂DS₂-VASc stroke risk scores, and the use of guidelines recommended OAC prescription. In case of a deviation from guidelines recommended OAC prescription, we checked the electronic patient file for any documented reason. Additionally, 6 weeks following the screening, we asked all GPs to provide informatio

SUBMITTER: Voorhout L 

PROVIDER: S-EPMC10441057 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature