Key result
Treatment of atrial fibrillation patients at specialist centres was associated with a higher likelihood of receiving adequate antithrombotic therapy (OR 1.60; 95% CI 1.20-2.12; p=0.001).
Why the study?
Does treatment by specialist centers improve the administration of adequate antithrombotic therapy in patients with atrial fibrillation?
Population
9,577 patients with atrial fibrillation enrolled from 2004 to 2006 in 191 German centres.
Comparison
Treatment by specialist centers vs Treatment by non-specialist centers
Design
Cross-sectional
Authors
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May support specialist referral for AF antithrombotic care; leaves open causal effects and outcome impact.
Observational (n=9,577)
Yes
Does treatment by specialist centers improve the administration of adequate antithrombotic therapy in patients with atrial fibrillation?
Odds Ratio: 1.6 (95% CI 1.2–2.12)
p-value: p=0.001
Specialist cardiology centers are significantly more likely to administer adequate antithrombotic therapy to patients with atrial fibrillation compared to general practitioners or district hospitals.
Gerth et al. (2011) conducted an observational in Atrial fibrillation (n=9,577). Treatment at specialist centres (tertiary care centres or office-based cardiologists) vs. Treatment at district hospitals or general practitioners/internists was evaluated on Adequate antithrombotic therapy administration (OR 1.60, 95% CI 1.20-2.12, p=0.001). Treatment of atrial fibrillation patients at specialist centres was associated with a higher likelihood of receiving adequate antithrombotic therapy (OR 1.60; 95% CI 1.20-2.12; p=0.001).
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