A Study to Quantify Use of Anticoagulation to Improve Management of Atrial Fibrillation
| Status: | Recruiting |
|---|---|
| Conditions: | Atrial Fibrillation |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 40 - Any |
| Updated: | 2/14/2019 |
| Start Date: | December 29, 2017 |
| End Date: | May 30, 2020 |
| Contact: | Study Contact |
| Email: | JNJ.CT@sylogent.com |
| Phone: | 844-434-4210 |
Quantify Use of Anticoagulation to Improve Management of AF
The purpose of this study is to evaluate the impact of a hospital quality improvement (QI)
program on the use of guideline-recommended oral anticoagulants (OAC) in hospitalized
patients with atrial fibrillation (AF) at risk for ischemic stroke. Specifically, the study
will determine whether the intervention, compared to Usual Care, will result in a greater
increase in the proportion of patients with AF at risk for ischemic stroke who are
appropriately treated with OAC.
program on the use of guideline-recommended oral anticoagulants (OAC) in hospitalized
patients with atrial fibrillation (AF) at risk for ischemic stroke. Specifically, the study
will determine whether the intervention, compared to Usual Care, will result in a greater
increase in the proportion of patients with AF at risk for ischemic stroke who are
appropriately treated with OAC.
Inclusion Criteria:
- Inpatient hospitalization
- Primary or secondary discharge International Classification of Diseases (ICD)-9/10
diagnosis code for AF paroxysmal (I48.0), persistent (I48.1), chronic (I48.2), or
unspecified (427.31, I48.91)
- Proxied Congestive Heart failure (CHA2DS2-VASC) score greater than or equal to (>=) 2
using ICD-9 diagnosis scoring algorithm developed previously. The scoring algorithm
will be expanded to include ICD-10 codes
- Discharged to home, skilled nursing facility, inpatient rehabilitation, or nursing
home
Exclusion Criteria:
- Presence of artificial mechanical heart valve by ICD-9/10 diagnosis or procedure code
during comorbid identification period or current hospitalization
- Surgical procedure during hospitalization for open heart surgery, brain, or spine
- Intravenous heparin given on the day of discharge without warfarin/oral anticoagulant
(OAC), antiplatelets, and/or aspirin
- History of left atrial appendage occlusion, including the Watchman device
- Any in-hospital (current hospitalization) bleeding identified by ICD-9/10 diagnosis
codes
We found this trial at
62
sites
The Hartford Hospital Hartford Hospital is the major teaching hospital affiliated with the University of...
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North Shore University Hospital North Shore-LIJ Health System includes 16 award-winning hospitals and nearly 400...
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Geisinger Medical Center Since 1915, Geisinger Medical Center has been known as the region’s resource...
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Borgess Medical Center At Borgess, healing is our calling. This is the place where people...
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The Hospital of Central Connecticut The Hospital of Central Connecticut is dedicated to fostering, sustaining...
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Long Island Jewish Medical Center Serving North Shore LIJ Health System employees and their families....
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1000 E Mountain Blvd
Wilkes-Barre, Pennsylvania 18711
Wilkes-Barre, Pennsylvania 18711
(570) 808-7300
Geisinger Wyoming Valley Over the last decade, Geisinger Wyoming Valley has nearly doubled in size,...
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