Influence of age on the prescription of vitamin K antagonists in outpatients with permanent atrial fibrillation in France

被引：17

作者：

Leizorovicz, A. ^{[1
]}

Boneu, B. ^{[1
]}

Cohen, A. ^{[1
]}

Guenoun, M. ^{[1
]}

Igigabel, P. ^{[1
]}

Jeandel, C. ^{[1
]}

Jullien, G. ^{[1
]}

Le Heuzey, J. -Y. ^{[1
]}

Leys, D. ^{[1
]}

Mismetti, P. ^{[1
]}

Mottier, D. ^{[1
]}

Weisslinger, N. ^{[1
]}

Leizorovicz, A. ^{[1
]}

Abravanel, A. ^{[1
]}

Akkal, Z. ^{[1
]}

Boutitie, F. ^{[1
]}

Chabaud, S. ^{[1
]}

Herve, M. ^{[1
]}

Yzebe, D. ^{[1
]}

Compagnon, A. ^{[1
]}

Pellerin, A. ^{[1
]}

Pace, S. ^{[1
]}

Yzebe, D. ^{[1
]}

Leizorovicz, A. ^{[1
]}

Cohen, A. ^{[1
]}

Guenoun, M. ^{[1
]}

Mismetti, P. ^{[1
]}

Weisslinger, N. ^{[1
]}

机构：

[1] Univ Lyon 1, FALSTAF Grp, Serv Pharmacol Clin, EA 3736,Fac RTH Laennec, F-69376 Lyon 08, France

来源：

PHARMACOEPIDEMIOLOGY AND DRUG SAFETY | 2007年 / 16卷 / 01期

关键词：

antithrombotics; aspirin; atrial fibrillation; epidemiology; population; vitamin K antagonists;

D O I：

10.1002/pds.1329

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Purpose The aim of the study was to describe the current rate and determinants of the prescription of antithrombotics in outpatients with permanent atrial fibrillation, with a pre-specified emphasis on the influence of age on the prescription of vitamin K antagonists. Methods This was a prospective observational survey in France among 5893 consecutive outpatients with documented permanent atrial fibrillation being seen by 770 physicians from August to December 2002. We recruited physicians from two random lists of general practitioners and cardiologists, respectively, stratified according to their administrative region, from the list of all French private general practitioners and cardiologists. Results The mean age of patients was 75.8 years. Mean duration since diagnosis of atrial fibrillation was 5.0 years; 31.7% of patients had valvular heart disease and 60.3% hypertension. An antithrombotic was prescribed to 95.5% of patients at the time of consultation. The percentage of patients treated with vitamin K antagonists was 76.4%; it decreased from 86.0% in patients aged 60-70 years to 63.5% in patients aged 80 years or above. On multivariate analysis, high age was a significant predictor (p = 0.001) for the non-prescription of vitamin K antagonists. In patients above 70 years currently receiving an antithrombotic, the probability of prescription of vitamin K antagonists decreased on average by 9.6% per year, Conclusions Vitamin K antagonists are administered to most outpatients with permanent atria] fibrillation at high thromboembolic risk seen by French physicians in private practice. However, their use decreases with age. Copyright (c) 2006 John Wiley & Sons, Ltd.

引用

页码：32 / 38

页数：7

共 28 条

[21] Quality of anticoagulation management among patients with atrial fibrillation -: Results of a review of medical records from 2 communities [J].

Samsa, GP ;

Matchar, DB ;

Goldstein, LB ;

Bonito, AJ ;

Lux, LJ ;

Witter, DM ;

Bian, J .

ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (07) :967-973

[22]

SEGAL JB, 2001, COCHRANE DB SYST REV, V1

[23] Temporal trends in the use of anticoagulants among older adults with atrial fibrillation [J].

Smith, NL ;

Psaty, BM ;

Furberg, CD ;

White, R ;

Lima, JAC ;

Newman, AB ;

Manolio, TA .

ARCHIVES OF INTERNAL MEDICINE, 1999, 159 (14) :1574-1578

[24] The underutilization of cardiac medications of proven benefit, 1990 to 2002 [J].

Stafford, RS ;

Radley, DC .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2003, 41 (01) :56-61

[25] Recent national patterns of warfarin use in atrial fibrillation [J].

Stafford, RS ;

Singer, DE .

CIRCULATION, 1998, 97 (13) :1231-1233

[26] Prevalence of atrial fibrillation and eligibility for anticoagulants in the community [J].

Sudlow, M ;

Thomson, R ;

Thwaites, B ;

Rodgers, H ;

Kenny, RA .

LANCET, 1998, 352 (9135) :1167-1171

[27] Population based study of use of anticoagulants among patients with atrial fibrillation in the community [J].

Sudlow, M ;

Rodgers, H ;

Kenny, RA ;

Thomson, R .

BRITISH MEDICAL JOURNAL, 1997, 314 (7093) :1529-1530

[28] ATRIAL-FIBRILLATION - A MAJOR CONTRIBUTOR TO STROKE IN THE ELDERLY - THE FRAMINGHAM-STUDY [J].

WOLF, PA ;

ABBOTT, RD ;

KANNEL, WB .

ARCHIVES OF INTERNAL MEDICINE, 1987, 147 (09) :1561-1564

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