November 8, 2022European Journal of Clinical InvestigationOpen Access

E-consultation implementation significantly reduced time to anticoagulation prescription (22.5 ± 8.1 vs. 177.6 ± 8.9 days, p < .001) and was associated with lower 1-year all-cause mortality (0.42 [95% CI: 0.29-0.62]).

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Why the study?

Early diagnosis and oral anticoagulant initiation determine outcomes in AF, and an inter-clinician e-consultation program may improve healthcare access by reducing elapsed time to cardiology care.

Does an inter-clinician e-consultation program reduce time to anticoagulation and improve mortality in patients with atrial fibrillation referred from primary care?

Population

10,488 patients with AF

Comparison

Inter-clinician e-consultations program (2013-2019) vs previous in-person consultation (2010-2012)

Design

Observational study

Follow-up

1-year

Authors

PMPilar Mazón‐Ramos SCSergio Cinza‐Sanjurjo DGDavid García‐Vega

Discussion

Member takes

Overview

E-consultations may shorten time to OAC in primary-care AF; hypothesis-generating and requires RCTs before practice change.

Structured PICO

Does an inter-clinician e-consultation program reduce time to anticoagulation and improve mortality in patients with atrial fibrillation referred from primary care?

Population

10,488 patients with atrial fibrillation referred by general practitioners to cardiology

Intervention

Inter-clinician electronic consultation (e-consultation) program via shared electronic patient dossier (2013-2019)

Comparator

In-person consultation (2010-2012)

Outcome

Elapsed time to anticoagulation prescription, oral anticoagulant (OAC) use, 1-year cardiovascular mortality, all-cause mortality, and stroke mortalityhard clinical

Implementing an inter-clinician e-consultation program for AF patients significantly reduces the time to oral anticoagulation initiation and is associated with lower cardiovascular and all-cause mortality.

Cite This Study

Mazón‐Ramos et al. (2022) studied this question.

synapsesocial.com/papers/6a7d08750ae9e6500d83d22c https://doi.org/10.1111/eci.13904

View Full Paper

Ask AI

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November 8, 2022European Journal of Clinical InvestigationOpen Access

E-consultation implementation significantly reduced time to anticoagulation prescription (22.5 ± 8.1 vs. 177.6 ± 8.9 days, p < .001) and was associated with lower 1-year all-cause mortality (0.42 [95% CI: 0.29-0.62]).

View Full Paper

Ask AI

Bookmark

Why the study?

Early diagnosis and oral anticoagulant initiation determine outcomes in AF, and an inter-clinician e-consultation program may improve healthcare access by reducing elapsed time to cardiology care.

Does an inter-clinician e-consultation program reduce time to anticoagulation and improve mortality in patients with atrial fibrillation referred from primary care?

Population

10,488 patients with AF

Comparison

Inter-clinician e-consultations program (2013-2019) vs previous in-person consultation (2010-2012)

Design

Observational study

Follow-up

1-year

Authors

PMPilar Mazón‐Ramos SCSergio Cinza‐Sanjurjo DGDavid García‐Vega

Discussion

Member takes

Overview

E-consultations may shorten time to OAC in primary-care AF; hypothesis-generating and requires RCTs before practice change.

Structured PICO

Does an inter-clinician e-consultation program reduce time to anticoagulation and improve mortality in patients with atrial fibrillation referred from primary care?

Population

10,488 patients with atrial fibrillation referred by general practitioners to cardiology

Intervention

Inter-clinician electronic consultation (e-consultation) program via shared electronic patient dossier (2013-2019)

Comparator

In-person consultation (2010-2012)

Outcome

Elapsed time to anticoagulation prescription, oral anticoagulant (OAC) use, 1-year cardiovascular mortality, all-cause mortality, and stroke mortalityhard clinical

Cite This Study

Mazón‐Ramos et al. (2022) studied this question.

synapsesocial.com/papers/6a7d08750ae9e6500d83d22c https://doi.org/10.1111/eci.13904

View Full Paper

Ask AI

Bookmark