Optimal Anticoagulation Strategies for Acute Atrial Fibrillation

The purpose of this project is to assess the variation and impact of oral anticoagulant prescribing in the emergency department in order to inform development of interventions to improve acute atrial fibrillation and flutter management. A longitudinal database will be constructed that links claims from inpatient facility services, outpatient services, physician services, and pharmacy services from Kaiser Permanente members with a new emergency department diagnosis of atrial fibrillation from 2010 to 2017, with the following aims: 1) Describe magnitude and reasons for the practice gap in acute oral anticoagulation prescribing for oral anticoagulant-naive patients with an emergency department diagnosis of atrial fibrillation or atrial flutter, and 2) Assess the impact of acute oral anticoagulant prescribing in naive atrial fibrillation and flutter patients on clinical outcomes.

0