Socioeconomic inequality in oral anticoagulation therapy initiation in patients with atrial fibrillation with high risk of stroke: a register-based observational study.

ABSTRACT:

Objective

The study aimed to examine the association between socioeconomic factors (SEFs) and oral anticoagulation (OAC) therapy and whether it was influenced by changing guidelines. We hypothesised that inequities in initiation of OAC reduced over time as more detailed and explicit clinical guidelines were issued.

Design

Register-based observational study.

Settings

All Danish patients with an incident hospital diagnosis of atrial fibrillation (AF), aged ≥30 years old and with high risk of stroke from 1 May 1999 to 2 October 2015 were included. Absolute risk differences (RD) (95% CI) were used to measure the association.

Participants

154 448 patients (mean age 78.2 years, men 47.3%).

Exposure

Education, family income and cohabiting status were the SEFs u

SUBMITTER: Lunde ED 

PROVIDER: S-EPMC8169491 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature