Does hospitalisation improve oral anticoagulant optimisation in patients with atrial fibrillation?

ABSTRACT:

Background

Hospitalisation offers an opportunity for medication review and correction, yet it has received little attention. We aimed to evaluate oral anticoagulant (OAC) use in patients with atrial fibrillation at hospital admission and discharge and determine whether hospitalisation improves care.

Methods

We conducted an observational study at the Royal Hobart Hospital, Australia, in patients with atrial fibrillation. The appropriateness of stroke-prevention therapy at admission and discharge was evaluated using Australian guidelines. Factors associated with correcting inappropriate OAC therapy were identified using multiple logistic regression.

Results

Among 902 patients, 47.1% (n = 425) were receiving inappropriate OAC therapy at admission. The most common errors

SUBMITTER: Kefale B 

PROVIDER: S-EPMC11891822 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature