Discontinuation of oral anticoagulant use among nursing home residents with atrial fibrillation before hospice enrollment.

ABSTRACT:

Background

Oral anticoagulants (OACs) are effective in reducing the risk of cardioembolic stroke due to atrial fibrillation. While most nursing home residents with atrial fibrillation qualify for anticoagulation based on clinical guidelines, the net clinical benefits of OACs may diminish as residents approach the end of life.

Methods

We conducted a cross-sectional study of 30,503 US nursing home residents with atrial fibrillation (based on Minimum Data Set 3.0 and Medicare Part A records) who used OACs in the year before enrolling in hospice care during 2012-2016. Whether residents discontinued OACs before hospice enrollment was determined using Part D claims and date of hospice enrollment. Modified Poisson models estimated adjusted prevalence ratios (aPR).

Results

Al

SUBMITTER: Chen Q 

PROVIDER: S-EPMC10592350 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature