Atrial Fibrillation Clinical Trial
Official title:
A New Clinical Decision Support Tool for Improving the Adequacy of Anticoagulant Therapy and Reduce Stroke Incidence in Non-valvular Atrial Fibrillation: a Randomized Clinical Trial in Primary Care
Atrial fibrillation (AF) is the most common cardiac arrhythmia and increases the risk of
ischemic stroke 4-5-fold. The prevention of complications is based on oral or antiplatelet
anticoagulant treatment. The first choice of anticoagulant therapy (AT) is the vitamin K
antagonist (VKA). Contraindication to VKA or poor control of the International Normalized
Ratio leads to the administration of direct-acting oral anticoagulants (DOACs). There is a
trend towards inadequate AT in non-valvular AF (NVAF) patients.
The Objective of the study is evaluate the impact of the implementation of a decision support
tool linked to digital clinical history on the adequacy of AT, the incidence of complications
and the mortality in patients with NVAF in primary health care of the Catalan Institute of
Health (ICS).
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