Key result
Despite >94% of physicians stating high-risk atrial fibrillation patients should receive warfarin, actual practice showed only 40% of eligible patients received thromboembolic prophylaxis.
Why the study?
Is there a discrepancy between theoretical guideline recommendations and actual clinical practice in the management of atrial fibrillation?
Population
Physicians surveyed regarding theoretical compliance and consecutive patients hospitalized with atrial…
Design
Cross-sectional
Authors
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Highlights a knowledge-practice gap in high-risk AF anticoagulation; leaves open effective strategies to improve real-world prophylaxis rates.
Observational (n=200)
Is there a discrepancy between theoretical guideline recommendations and actual clinical practice in the management of atrial fibrillation?
Absolute Event Rate: 94% vs 40%
Viveka Frykman (2001) conducted an observational in Atrial fibrillation (n=200). Guideline-recommended therapy (warfarin) vs. Actual clinical practice was evaluated on Compliance to guidelines for warfarin use in patients with chronic atrial fibrillation and stroke risk factors. Despite >94% of physicians stating high-risk atrial fibrillation patients should receive warfarin, actual practice showed only 40% of eligible patients received thromboembolic prophylaxis.
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