Emergency Med Medical News about Atrial Fibrillation; Ambulatory Care; Anticoagulation

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Anticoagulation for Patients with Atrial Fibrillation in Ambulatory Care Settings
Journal of the American Board of Family Medicine, 05/11/09

Niska R et al. - In the context of recently published guidelines, the authors studied anticoagulation for atrial fibrillation as part of stroke prevention. Among patients with atrial fibrillation, warfarin was prescribed during 52.2% of visits. Warfarin use was more likely in 2005 to 2006 than in 2001 and at visits covered by Medicare than by those covered by private insurance. Women and non-white patients were less likely to receive warfarin than their counterparts. Patients taking aspirin were less likely to get warfarin, but there were no significant differences because of age or the presence of risk factors. Warfarin use was more likely in the Northeast as compared with all other regions of the country. Accepted guidelines for warfarin have been implemented during more than half of visits of patients with atrial fibrillation. Disparities exist among race, sex, and region. More attention is needed to appropriate prescribing of warfarin.

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