The utilization of antithrombotic prophylaxis for atrial fibrillation in a geriatric rehabilitation hospital.

The utilization of antithrombotic prophylaxis for atrial fibrillation in a geriatric rehabilitation hospital. Research Abstract Details 

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The utilization of antithrombotic prophylaxis for atrial fibrillation in a geriatric rehabilitation hospital. Abstract Text:

OBJECTIVE: To determine the utilization of anticoagulant and antithrombotic agents in older patients with atrial fibrillation. DESIGN: Retrospective chart review. SETTING: A geriatric rehabilitation hospital. PATIENTS: Subjects were 102 patients with atrial fibrillation as an intermittent or prevailing cardiac rhythm during a hospital admission in the 1993 fiscal year. MEASUREMENTS: Age, sex, and mental status of the patients; duration and etiology of atrial fibrillation; presence of contraindications to anticoagulants or antithrombotic agents; and utilization of these agents in this population. RESULTS: Of 102 older patients with atrial fibrillation at admission, only 51 were taking some form of anticoagulant or antithrombotic therapy proven effective for stroke prophylaxis (19 warfarin and 32 aspirin). Although 67 patients had relative contraindications to anticoagulation with warfarin, only 25 of the 35 with no contraindications were taking warfarin at the time of discharge. In addition, of the 43 patients with contraindications to warfarin but no contraindications to aspirin, only 28 were prescribed antithrombotic therapy. CONCLUSIONS: Although anticoagulation or antithrombotic therapies for atrial fibrillation appear to be relatively widely used, there are still significant windows of opportunity for the improvement of clinician practice patterns and clinical outcomes in older patients.

The utilization of antithrombotic prophylaxis for atrial fibrillation in a geriatric rehabilitation hospital. Publishing Authors By Initials

For similar investigative techniques: epidemiologic methods: epidemiologic study characteristics as topic: epidemiologic studies: case-control studies: retrospective studies research abstracts see: investigative techniques: epidemiologic methods: epidemiologic study characteristics as topic: epidemiologic studies: case-control studies: retrospective studies research

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The utilization of antithrombotic prophylaxis for atrial fibrillation in a geriatric rehabilitation hospital. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Journal of the American Geriatrics Society

VOLUME: 44

Page Numbers: 708-11

Journal Abbreviation: J Am Geriatr Soc

ISSN: 0002-8614

DAY: 10

MONTH: Jun

YEAR: 1996

The utilization of antithrombotic prophylaxis for atrial fibrillation in a geriatric rehabilitation hospital. Information

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LANGUAGE: eng

NlmUniqueID: 7503062

The utilization of antithrombotic prophylaxis for atrial fibrillation in a geriatric rehabilitation hospital. Keywords Mesh Terms:

KEYWORDS: Retrospective Studies

MESH TERMS: therapeutic use

Chemical & Substance for Abstract: The utilization of antithrombotic prophylaxis for atrial fibrillation in a geriatric rehabilitation hospital. Information

Substance Name: Fibrinolytic Agents

Registry Number: 0

Grant and Affiliation Information for The utilization of antithrombotic prophylaxis for atrial fibrillation in a geriatric rehabilitation hospital.

AFFILIATION: Division of Geriatrics, University of Alberta, Edmonton, Canada.

Country: UNITED STATES

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MEDLINETA: J Am Geriatr Soc

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