Compliance of patients with atrial fibrillation using new oral
anticoagulants - results survey

J 2024

Compliance of patients with atrial fibrillation using new oral anticoagulants - results survey

BÚŘILOVÁ, Petra, Jiří BÚŘIL, Michal HARŠÁNY, Kamila DUFKOVÁ, Marta ŠENKYŘÍKOVÁ et. al.

Basic information

Original name

Compliance of patients with atrial fibrillation using new oral anticoagulants - results survey

Authors

BÚŘILOVÁ, Petra (203 Czech Republic, belonging to the institution), Jiří BÚŘIL (203 Czech Republic, belonging to the institution), Michal HARŠÁNY (703 Slovakia, belonging to the institution), Kamila DUFKOVÁ (203 Czech Republic, belonging to the institution), Marta ŠENKYŘÍKOVÁ (203 Czech Republic, belonging to the institution), Dana DOLANOVÁ (703 Slovakia, belonging to the institution), Milos TABORSKY (203 Czech Republic) and Andrea POKORNÁ (203 Czech Republic, belonging to the institution)

Edition

Cor et Vasa, PRAGUE, CZECH SOC CARDIOLOGY & CZECH SOC CARDIOVASCULAR SURGERY, 2024, 0010-8650

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 0.200 in 2022

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.33678/cor.2023.095

UT WoS

001184839300015

Keywords in English

Atrial fi brillation; Compliance; New oral anticoagulants; Risk; Stroke

Abstract

V originále

Introduction: Continuous medication use is essential for patients with atrial fi brillation using new oral anticoagulants. Older age and polymorbidity may affect compliance related to the anticoagulation therapy. Methods: An observational cohort study (STROBE) assessed patients' compliance with selected cardiovascular diagnoses and other comorbidities who received NOAC and outpatient care in specialized clinics in the Czech Republic in the questionnaire survey between April and May 2023. Results: Patients meeting the study criteria were approached by the treating physician for inclusion (4 cardiology and 1 neurology clinic). A total of 274 patients (146 women, 128 men) with a primary diagnosis of atrial fibrillation and at least one confirmed secondary diagnosis of heart attack, cerebral infarction, transient cerebral ischemic attack (TIA), obesity, arterial hypertension, or diabetes mellitus participated. Statistical analysis confi rmed that patients with a history of stroke or TIA had a higher number of regular follow-up visits (once every three months) (p = 0.002492). Furthermore, data analysis demonstrated that patients who had been on treatment for a shorter time tended to have more frequent regular follow-up visits (treatment duration up to 3 months/average check-ups 1.7 times; 3-5 months/0.9 times; 6-12 months/0.7 times). In one patient (55 years) with paroxysmal atrial fibrillation and a diagnosis of TIA, who declared irregularity of NOAC use for 3-5 months of treatment, a relapse of TIA was identifi ed. Conclusion: A high burden of additional comorbidities was identifi ed in the observed sample, along with the inadequate declaration of the regularity of NOAC medication use and the resulting risks. Appropriate patient education is essential, especially among older patients at a high risk of stroke, considering the increasing prescription rates.

Links

MUNI/A/1560/2023, interní kód MU

Name: Komprehensivní přístup k hodnocení kvality ošetřovatelské péče

Investor: Masaryk University, A Comprehensive Approach to the assessment of the Quality of Nursing Care

Citovat

BÚŘILOVÁ, Petra, Jiří BÚŘIL, Michal HARŠÁNY, Kamila DUFKOVÁ, Marta ŠENKYŘÍKOVÁ, Dana DOLANOVÁ, Milos TABORSKY and Andrea POKORNÁ. Compliance of patients with atrial fibrillation using new oral anticoagulants - results survey. Cor et Vasa. PRAGUE: CZECH SOC CARDIOLOGY & CZECH SOC CARDIOVASCULAR SURGERY, 2024, vol. 66, No 1, p. 23-28. ISSN 0010-8650. Available from: https://dx.doi.org/10.33678/cor.2023.095.

@article{2398217,
   author = {Búřilová, Petra and Búřil, Jiří and Haršány, Michal and Dufková, Kamila and Šenkyříková, Marta and Dolanová, Dana and Taborsky, Milos and Pokorná, Andrea},
   article_location = {PRAGUE},
   article_number = {1},
   doi = {http://dx.doi.org/10.33678/cor.2023.095},
   keywords = {Atrial fi brillation; Compliance; New oral anticoagulants; Risk; Stroke},
   language = {eng},
   issn = {0010-8650},
   journal = {Cor et Vasa},
   title = {Compliance of patients with atrial fibrillation using new oral anticoagulants - results survey},
   url = {https://e-coretvasa.cz/artkey/cor-202401-0004_compliance-of-patients-with-atrial-fibrillation-using-new-oral-anticoagulants-results-survey.php},
   volume = {66},
   year = {2024}
}

TY  - JOUR
ID  - 2398217
AU  - Búřilová, Petra - Búřil, Jiří - Haršány, Michal - Dufková, Kamila - Šenkyříková, Marta - Dolanová, Dana - Taborsky, Milos - Pokorná, Andrea
PY  - 2024
TI  - Compliance of patients with atrial fibrillation using new oral anticoagulants - results survey
JF  - Cor et Vasa
VL  - 66
IS  - 1
SP  - 23-28
EP  - 23-28
PB  - CZECH SOC CARDIOLOGY & CZECH SOC CARDIOVASCULAR SURGERY
SN  - 00108650
KW  - Atrial fi brillation
KW  - Compliance
KW  - New oral anticoagulants
KW  - Risk
KW  - Stroke
UR  - https://e-coretvasa.cz/artkey/cor-202401-0004_compliance-of-patients-with-atrial-fibrillation-using-new-oral-anticoagulants-results-survey.php
N2  - Introduction: Continuous medication use is essential for patients with atrial fi brillation using new oral anticoagulants. Older age and polymorbidity may affect compliance related to the anticoagulation therapy. Methods: An observational cohort study (STROBE) assessed patients' compliance with selected cardiovascular diagnoses and other comorbidities who received NOAC and outpatient care in specialized clinics in the Czech Republic in the questionnaire survey between April and May 2023. Results: Patients meeting the study criteria were approached by the treating physician for inclusion (4 cardiology and 1 neurology clinic). A total of 274 patients (146 women, 128 men) with a primary diagnosis of atrial fibrillation and at least one confirmed secondary diagnosis of heart attack, cerebral infarction, transient cerebral ischemic attack (TIA), obesity, arterial hypertension, or diabetes mellitus participated. Statistical analysis confi rmed that patients with a history of stroke or TIA had a higher number of regular follow-up visits (once every three months) (p = 0.002492). Furthermore, data analysis demonstrated that patients who had been on treatment for a shorter time tended to have more frequent regular follow-up visits (treatment duration up to 3 months/average check-ups 1.7 times; 3-5 months/0.9 times; 6-12 months/0.7 times). In one patient (55 years) with paroxysmal atrial fibrillation and a diagnosis of TIA, who declared irregularity of NOAC use for 3-5 months of treatment, a relapse of TIA was identifi ed. Conclusion: A high burden of additional comorbidities was identifi ed in the observed sample, along with the inadequate declaration of the regularity of NOAC medication use and the resulting risks. Appropriate patient education is essential, especially among older patients at a high risk of stroke, considering the increasing prescription rates.
ER  -

BÚŘILOVÁ, Petra, Jiří BÚŘIL, Michal HARŠÁNY, Kamila DUFKOVÁ, Marta ŠENKYŘÍKOVÁ, Dana DOLANOVÁ, Milos TABORSKY and Andrea POKORNÁ. Compliance of patients with atrial fibrillation using new oral anticoagulants - results survey. \textit{Cor et Vasa}. PRAGUE: CZECH SOC CARDIOLOGY \&{}amp; CZECH SOC CARDIOVASCULAR SURGERY, 2024, vol.~66, No~1, p.~23-28. ISSN~0010-8650. Available from: https://dx.doi.org/10.33678/cor.2023.095.

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