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Anticoagulant prescribing in patients with ischaemic stroke: what has changed over a decade?
Author(s) -
Sharobeam Angelos,
Jones Brett,
Watters Aidan,
Das Chandi,
Lueck Christian
Publication year - 2020
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.15022
Subject(s) - medicine , atrial fibrillation , warfarin , anticoagulant , ischaemic stroke , stroke (engine) , oral anticoagulant , cardiology , mechanical engineering , engineering
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.