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September 1, 1998StrokeOpen Access

Cost-Effectiveness of Anticoagulation in Nonrheumatic Atrial Fibrillation in the Primary Prevention of Ischemic Stroke

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Key result

Anticoagulation for primary prevention of ischemic stroke in nonrheumatic atrial fibrillation yielded an incremental cost per life-year gained ranging from -£400.45 to £13,221.29 over 10 years.

Why the study?

Is anticoagulation cost-effective for the primary prevention of ischemic stroke in patients with nonrheumatic atrial fibrillation?

Population

Patients with nonrheumatic atrial fibrillation, with particular reference to the very elderly (aged >75 years)

Design

Other

Follow-up

10 years (modeled)

Authors

SLSara LightowlersInstitute of Cancer ResearchAMAlistair McGuireLondon School of Economics and Political Science

Discussion

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Implication

May support anticoagulation in elderly nonrheumatic AF; leaves open need for contemporary validation.

Structured PICO

Is anticoagulation cost-effective for the primary prevention of ischemic stroke in patients with nonrheumatic atrial fibrillation?

P
Population
Patients with nonrheumatic atrial fibrillation, with particular reference to the very elderly (aged >75 years)
I
Intervention
Anticoagulation
O
Outcome
Incremental costs per life-year gained free from stroke over 10 years

Anticoagulation is a cost-effective strategy for the primary prevention of ischemic stroke in patients with nonrheumatic atrial fibrillation, especially in the elderly.

Cite This Study

Lightowlers et al. (1998) studied Nonrheumatic atrial fibrillation. Anticoagulation was evaluated on Incremental costs per life-year gained free from stroke. Anticoagulation for primary prevention of ischemic stroke in nonrheumatic atrial fibrillation yielded an incremental cost per life-year gained ranging from -£400.45 to £13,221.29 over 10 years.

synapsesocial.com/papers/6a0f95dc5725bbd5cc5fe240https://doi.org/10.1161/01.str.29.9.1827

Topics

Atrial fibrillationPersistent AF managementAnticoagulation in AF
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cost effectiveness of primary stroke prevention in atrial fibrillation: Swedish national perspective.1992 · 129 citations
  2. 2Canadian atrial fibrillation anticoaguiation (CAFA) study1991 · 1,118 citations
  3. 3The Effect of Low-Dose Warfarin on the Risk of Stroke in Patients with Nonrheumatic Atrial Fibrillation1990 · 1,538 citations
  4. 4Variations in the incidence, management and outcome of stroke in residents under the age of 75 in two health districts of southern England1995 · 19 citations
  5. 5A prospective study of acute cerebrovascular disease in the community: the Oxfordshire Community Stroke Project--1981-86. 2. Incidence, case fatality rates and overall outcome at one year of cerebral infarction, primary intracerebral and subarachnoid haemorrhage.1990 · 816 citations