Anticoagulant prescribing in patients with ischaemic stroke: what has changed over a decade?

Angelos Sharobeam; Brett Jones; Aidan Watters; Chandi Das; Christian Lueck

doi:10.1111/imj.15022

Anticoagulant prescribing in patients with ischaemic stroke: what has changed over a decade?

Angelos Sharobeam^*, Brett Jones, Aidan Watters, Chandi Das, Christian Lueck

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	1274-1277
Number of pages	4
Journal	Internal Medicine Journal
Volume	50
Issue number	10
DOIs	https://doi.org/10.1111/imj.15022
Publication status	Published - 1 Oct 2020

Access to Document

10.1111/imj.15022

Cite this

@article{d5aa5eec83214d5fa1b5609285278e71,

title = "Anticoagulant prescribing in patients with ischaemic stroke: what has changed over a decade?",

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.",

keywords = "DOAC, anticoagulation, atrial fibrillation, stroke, warfarin",

author = "Angelos Sharobeam and Brett Jones and Aidan Watters and Chandi Das and Christian Lueck",

note = "Publisher Copyright: {\textcopyright} 2020 Royal Australasian College of Physicians",

year = "2020",

month = oct,

day = "1",

doi = "10.1111/imj.15022",

language = "English",

volume = "50",

pages = "1274--1277",

journal = "Internal Medicine Journal",

issn = "1444-0903",

publisher = "John Wiley \& Sons Inc.",

number = "10",

}

TY - JOUR

T1 - Anticoagulant prescribing in patients with ischaemic stroke

T2 - what has changed over a decade?

AU - Sharobeam, Angelos

AU - Jones, Brett

AU - Watters, Aidan

AU - Das, Chandi

AU - Lueck, Christian

PY - 2020/10/1

Y1 - 2020/10/1

N2 - 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.

AB - 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.

KW - DOAC

KW - anticoagulation

KW - atrial fibrillation

KW - stroke

KW - warfarin

UR - http://www.scopus.com/inward/record.url?scp=85094159324&partnerID=8YFLogxK

U2 - 10.1111/imj.15022

DO - 10.1111/imj.15022

M3 - Article

SN - 1444-0903

VL - 50

SP - 1274

EP - 1277

JO - Internal Medicine Journal

JF - Internal Medicine Journal

IS - 10

ER -

Anticoagulant prescribing in patients with ischaemic stroke: what has changed over a decade?

Abstract

Access to Document

Other files and links

Fingerprint

Cite this