Fine-tuning of antithrombotic therapy in patients with non-valvular atrial fibrillation. The AFINVA register

Objective: To determine whether antithrombotic treatment (ATT) in patients with non-valvular atrial fibrillation in a health area complies with the recommendations of current clinical guidelines. Design: Prospective observational study. Location: Primary Health Care Centres and Cardiology Department...

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Detalles Bibliográficos
Autores: Dubois Marques D, Mora Llabata V, Pacheco Arroyo J, Gasull Insertis S, Vicente Canizares M, Roldan Torres I
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p2231
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/2231
Access Level:acceso abierto
Palabra clave:Antithrombotic treatment
Oral anticoagulation
Non-valvular atrial fibrillation
AFINVA register
Descripción
Sumario:Objective: To determine whether antithrombotic treatment (ATT) in patients with non-valvular atrial fibrillation in a health area complies with the recommendations of current clinical guidelines. Design: Prospective observational study. Location: Primary Health Care Centres and Cardiology Department of a Health Department of the Valencian Community, Spain. Participants: A total of 505 patients with nonvalvular atrial fibrillation were included in the study. Main measurements: ATT was deemed to be inappropriate in patients with a CHA(2)DS(2)-VASc score >= 1 and who were not under oral anticoagulation, in patients treated with antivitamin K drugs, and poor control of oral anticoagulation, or with antiplatelet therapy inappropriately associated with anticoagulation, and in patients on ATT with a CHA(2)DS(2)-VASc score = 0. Results: The median age was 77.4 +/- 10 years. The ATT was considered inadequate in 58% of cases. Factors independently associated with inadequate ATT were age (OR: 1.02 [1-1.04]; P=.029), hypothyroidism (OR: 1.98 [1.14-3.43]; P=.015), ischaemic heart disease (OR: 1.3 [1.15-2.59]; P=.008) and paroxysmal non -valvular AF (OR: 2.11 [1.41-3.17]; P <.0001). Conclusions: These data underline the high prevalence of inadequate ATT in daily practice, as well its different causes. (C) 2017 Elsevier Espana, S.L.U.