[Quality of treatment of atrial fibrillation patients and indicators utilized in monitoring--results of quality assessment at eleven healthcare centers].
| Autor: | Winell K, Mikkola I, Korhonen K, Hynninen H, Lahtinen P, Tuononen R, Bjon BM, Ritala S, Heindaho E, Hartsenko J |
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| Jazyk: | finština |
| Zdroj: | Duodecim; laaketieteellinen aikakauskirja [Duodecim] 2015; Vol. 131 (20), pp. 1881-8. |
| Abstrakt: | Background: Several studies indicate a great need for improvement in the care of atrial fibrillation (AF). Failures in antitrombotic treatment can result in stroke. Material: A sample of consecutive patients with AF was gathered from eleven health centers (1,156 patients). Results: 57.5% of all warfarin-treated patients (N = 1 125) were in good balance of anticoagulation. Of patients who had INR (International Normalized Ratio) for a period of at least 90 days (N = 531), 75.3% were in good balance. Severe symptoms of AF were experienced by 5.0% of patients. Conclusions: Treatment of AF has to be improved, especially in anticoagulation. Anticoagulation should simply be stopped or new anticoagulants should be used, if intensifying of warfarin treatment is not successful. |
| Databáze: | MEDLINE |
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