Short Communication

Adherence to antithrombotic therapy guidelines and atrial fibrillation in a rural hospital: a clinical audit


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Huma Aziz1
MPH, Research Academic

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David Mills2
MD, Director *

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Jonathan Newbury3
MD, Professor


1, 2 Adelaide Rural Clinical School, University of Adelaide, Ceduna, South Australia, Australia

3 Adelaide Rural Clinical School, University of Adelaide, Port Lincoln, South Australia, Australia

ACCEPTED: 26 August 2018

early abstract:

Objectives: The purpose of this study was to determine whether patients in a rural population with documented history of atrial fibrillation (AF) are prescribed antithrombotic treatment according to recognised guidelines.

Background: AF is a major risk factor for ischaemic stroke and a common presentation in General Practice. Scoring systems to guide antithrombotic treatment have been available since 1996,with the CHA2DS2-VASc in current use; however, little is known about adherence to guidelines in rural General Practice.

Methods: A retrospective cohort study of inpatients was performed at a rural country hospital in South Australia. All patients with an ICD-10 CM code at the time of discharge were selected from June 2008 to July 2013. This included both newly diagnosed AF as well cases with existing history of AF.

Results: Among the 59 patients studied, 77% of patients received appropriate anticoagulation according to CHADS2 score and 83 % according to CHA2DS2-VASC score.

Conclusion: This study confirms that the guidelines recommendations are routinely followed in clinical practice in this rural population.