Anticoagulant prescribing in patients with ischaemic stroke: what has changed over a decade?. Issue 10 (27th October 2020)

• Record Type: Journal Article
• Authors: Sharobeam, Angelos; Jones, Brett; Watters, Aidan; Das, Chandi; Lueck, Christian
• Is Part Of: Internal medicine journal. Volume 50:Issue 10(2020)
• Page Start: 1274
• Page End: 1277
• Publication Date: 2020-10-27
• Subjects: atrial fibrillation -- anticoagulation -- stroke -- warfarin -- DOAC; Medicine -- Periodicals; 616
• DOI: 10.1111/imj.15022
• Languages: English
• ISSNs: 1444-0903

Abstract

Abstract: A study at our institution conducted 10 years ago identified that warfarin was under‐utilised in patients with atrial fibrillation. We replicated this study and compared the results. There was a significant increase in the proportion of patients appropriately anticoagulated (63% vs 9%, P < 0.001). Eighty‐seven percent of eligible patients were appropriately anticoagulated on discharge (86% previously). Seventy‐two percent of treated patients were prescribed a direct oral anticoagulant. Of these, 10% were discharged with a sub‐therapeutic dose without obvious explanation.