Key result
Treatment by general practitioners/internists or regional hospital physicians was associated with significantly lower odds of receiving oral anticoagulation for secondary stroke prevention compared to university hospitals (OR 0.40 and 0.47, respectively).
Why the study?
Does the type of treating healthcare provider influence the prescription of vitamin K antagonists for secondary stroke prevention in patients with atrial fibrillation?
Observational (n=9,574)
Yes
Does the type of treating healthcare provider influence the prescription of vitamin K antagonists for secondary stroke prevention in patients with atrial fibrillation?
Odds Ratio: 0.4 (95% CI 0.21–0.77)
In Germany, the prescription of oral anticoagulation for secondary stroke prevention in AF patients is significantly lower when treated by general practitioners or regional hospital physicians compared to university hospitals.
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May indicate care-setting disparities in AF anticoagulation; leaves open need for targeted quality improvement studies.
Hæusler et al. (2015) conducted an observational in Atrial fibrillation with prior ischemic stroke or TIA (n=9,574). Treatment by general practitioners/internists vs. Treatment by university hospital physicians was evaluated on Prescription of anticoagulation for secondary stroke prevention (OR 0.40, 95% CI 0.21-0.77). Treatment by general practitioners/internists or regional hospital physicians was associated with significantly lower odds of receiving oral anticoagulation for secondary stroke prevention compared to university hospitals (OR 0.40 and 0.47, respectively).
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