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    Atrial fibrillation in a primary care population: how close to NICE guidelines are we?

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    Authors
    Loo, Bryan
    Parnell, Cath
    Brook, Gerald
    Southall, Ed
    Mahy, Ian
    Affiliation
    South West Cardiothoracic Centre, Department of Cardiology, Derriford Hospital, Plymouth. bloo@nhs.net
    Issue Date
    2009-06
    MeSH
    Aged
    Aged, 80 and over
    Anticoagulants
    Atrial Fibrillation
    Echocardiography
    Electrocardiography
    England
    Female
    Guideline Adherence
    Humans
    Male
    Middle Aged
    Practice Guidelines as Topic
    Prevalence
    Primary Health Care
    Referral and Consultation
    Risk Assessment
    Stroke
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    Citation
    Atrial fibrillation in a primary care population: how close to NICE guidelines are we? 2009, 9 (3):219-23 Clin Med
    Publisher
    Clinical medicine (London, England)
    Journal
    Clinical medicine (London, England)
    URI
    http://hdl.handle.net/10147/253732
    PubMed ID
    19634382
    Abstract
    The National Institute for Health and Clinical Excellence (NICE) guidelines for the management of atrial fibrillation were published in June 2006. It was anticipated that they would potentially lead to increased demand for echocardiography (ECHO), increased access to secondary care services (for example for cardioversion), and require additional resources for monitoring anticoagulation. A primary care survey was therefore initiated in South Devon, in advance of publication of the guidelines as a snapshot of existing practice, to determine any additional resources and education required to meet the new standards. The main aim was to determine what proportion of patients were managed exclusively in primary care, how frequently patients were investigated by ECHO and whether anticoagulation was being appropriately targeted at patients at high risk of thromboembolic events.
    Item Type
    Article
    Language
    en
    ISSN
    1470-2118
    Collections
    Tallaght University Hospital

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