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Effectiveness, safety and costs of thromboembolic prevention in patients with non-valvular atrial fibrillation: phase I ESC-FA protocol study and baseline characteristics of a cohort from a primary care electronic database

Purpose: Atrial fibrillation is the most common arrhythmia. Its management aims to reduce symptoms and to prevent complications through rate and rhythm control, management of concomitant cardiac diseases and prevention of related complications, mainly stroke. The main objective of Effectiveness, Safety and Costs in Atrial Fibrillation (ESC-FA) study is to analyse the drugs used for the management of the disease in realuse conditions, particularly the antithrombotic agents for stroke prevention. The aim of this work is to present the study protocol of phase I of the ESC-FA study and the baseline characteristics of newly diagnosed patients with atrial fibrillation in Catalonia, Spain. Participants: The data source is System for the Improvement of Research in Primary Care (SIDIAP) database. The population included are all patients with non-valvular atrial fibrillation diagnosis registered in the electronic health records during 2007–2012. Findings to date: A total of 22 585 patients with non-valvular atrial fibrillation were included in the baseline description. Their mean age was 72.8 years and 51.6% were men. The most commonly prescribed antithrombotics were vitamin K antagonists (40.1% of patients) and platelet aggregation inhibitors (32.9%); 25.3% had not been prescribed antithrombotic treatment. Age, gender, comorbidities and comedication at baseline were similar to those reported for previous studies. Future plans: The next phase in the ESC-FA study will involve assessing the effectiveness and safety of antithrombotic treatments, analysing stroke events and bleeding episodes’ rates in our patients (rest of phase I), describing the current management of the disease and its costs in our setting, and assessing how the introduction of new oral anticoagulants changes the stroke prevention in non-valvular atrial fibrillation

BMJ Open, 2016, vol. 6, núm. 1, p. e010144

BMJ Publishing Group

Autor: Giner Soriano, Maria
Vedia Urgell, Cristina
Roso Llorach, Albert
Morros, Rosa
Capellà Hereu, Dolors
Castells Cervelló, Xavier
Ferreira González, Ignacio
Troncoso Mariño, Amelia
Diògene, Eduard
Elorza, Josep Ma
Casajuana Closas, Marc
Bolíbar, Bonaventura
Violán Fors, Concepción
Data: 2016
Resum: Purpose: Atrial fibrillation is the most common arrhythmia. Its management aims to reduce symptoms and to prevent complications through rate and rhythm control, management of concomitant cardiac diseases and prevention of related complications, mainly stroke. The main objective of Effectiveness, Safety and Costs in Atrial Fibrillation (ESC-FA) study is to analyse the drugs used for the management of the disease in realuse conditions, particularly the antithrombotic agents for stroke prevention. The aim of this work is to present the study protocol of phase I of the ESC-FA study and the baseline characteristics of newly diagnosed patients with atrial fibrillation in Catalonia, Spain. Participants: The data source is System for the Improvement of Research in Primary Care (SIDIAP) database. The population included are all patients with non-valvular atrial fibrillation diagnosis registered in the electronic health records during 2007–2012. Findings to date: A total of 22 585 patients with non-valvular atrial fibrillation were included in the baseline description. Their mean age was 72.8 years and 51.6% were men. The most commonly prescribed antithrombotics were vitamin K antagonists (40.1% of patients) and platelet aggregation inhibitors (32.9%); 25.3% had not been prescribed antithrombotic treatment. Age, gender, comorbidities and comedication at baseline were similar to those reported for previous studies. Future plans: The next phase in the ESC-FA study will involve assessing the effectiveness and safety of antithrombotic treatments, analysing stroke events and bleeding episodes’ rates in our patients (rest of phase I), describing the current management of the disease and its costs in our setting, and assessing how the introduction of new oral anticoagulants changes the stroke prevention in non-valvular atrial fibrillation
Format: application/pdf
Cita: 024876
ISSN: 2044-6055
Accés al document: http://hdl.handle.net/10256/12443
Llenguatge: eng
Editor: BMJ Publishing Group
Col·lecció: Reproducció digital del document publicat a: http://dx.doi.org/10.1136/bmjopen-2015- 010144
Articles publicats (D-CM)
És part de: BMJ Open, 2016, vol. 6, núm. 1, p. e010144
Drets: Attribution-NonCommercial 3.0 Spain
URI Drets: http://creativecommons.org/licenses/by-nc/3.0/es/
Matèria: Farmacologia cardiovascular
Cardiovascular pharmacology
Sistema cardiovascular -- Malalties
Cardiovascular system -- Diseases
Títol: Effectiveness, safety and costs of thromboembolic prevention in patients with non-valvular atrial fibrillation: phase I ESC-FA protocol study and baseline characteristics of a cohort from a primary care electronic database
Tipus: info:eu-repo/semantics/article
Repositori: DUGiDocs

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