Clinical characteristics of patients with atrial fibrillation treated with direct oral anticoagulants attended in primary care setting

To analyse the clinical characteristics and management of patients with non-valvular atrial fibrillation (NVAF) treated with direct oral anticoagulants (DOAC). Observational, cross-sectional and multicentre study. Autonomous Communities in which the general practitioner can prescribe DOAC (n = 9). T...

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Detalles Bibliográficos
Autores: de la Figuera, Mariano|||0000-0003-2533-2135, Cinza, Sergio, Marín, Nuria, Egocheaga, Isabel, Prieto, Miguel Angel
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:español
OAI Identifier:oai:ddd.uab.cat:287811
Acceso en línea:https://ddd.uab.cat/record/287811
https://dx.doi.org/urn:doi:10.1016/j.aprim.2017.05.009
Access Level:acceso abierto
Palabra clave:Anticoagulación
Anticoagulantes orales de acción directa
Anticoagulation
Atención primaria
Direct oral anticoagulants
Fibrilación auricular no valvular
Non-valvular atrial fibrillation
Primary care
Descripción
Sumario:To analyse the clinical characteristics and management of patients with non-valvular atrial fibrillation (NVAF) treated with direct oral anticoagulants (DOAC). Observational, cross-sectional and multicentre study. Autonomous Communities in which the general practitioner can prescribe DOAC (n = 9). The study included a total of 790 patients on chronic treatment with anticoagulants, and on whom therapy was changed, as well as being currently on treatment with DOAC for at least for 3 months. A record was made of the sociodemographic and clinical management date. Mean age was 78.6 ± 8.4 years, and 50.5% of patients were men. Mean CHADS score was 2.6 ± 1.2, mean CHADS-VASc score was 4.3 ± 1.6, and the mean HAS-BLED score was 2.3 ± 1.0. Mean duration of treatment with DOAC was 15.8 ± 12.5 months. Rivaroxaban was the DOAC most frequently prescribed (57.8%), followed by dabigatran (23.7%), and apixaban (18.5%). Of the patients receiving rivaroxaban, 70.2% were taking the dose of 20 mg/daily. Of the patients receiving dabigatran, 41.7% were taking the dose of 150 mg twice daily, and in the case of apixaban, 56.2% were taking the dose of 5 mg twice daily. Satisfaction (ACTS Burdens scale 52.0 ± 7.2 and ACTS Benefits scale 12.1 ± 2.2), and therapeutic adherence (97.8% of patients took their medication regularly) with DOAC were high. Patients treated with DOAC in Spain have a high thromboembolic risk. A significant proportion of patients receive a lower dose of DOAC than that recommended according to their clinical profile. Satisfaction and medication adherence are high.