作者
Leona A Ritchie, Stephanie L Harrison, Peter E Penson, Ashley Akbari, Fatemeh Torabi, Joe Hollinghurst, Daniel Harris, Oluwakayode B Oke, Asangaedem Akpan, Julian P Halcox, Sarah E Rodgers, Gregory YH Lip, Deirdre A Lane
发表日期
2024/2/1
期刊
Age and Ageing
卷号
53
期号
2
页码范围
afae021
出版商
Oxford University Press
简介
Background
The Atrial fibrillation Better Care (ABC) pathway is the gold-standard approach to atrial fibrillation (AF) management, but the effect of implementation on health outcomes in care home residents is unknown.
Objective
To examine associations between ABC pathway adherence and stroke, transient ischaemic attack, cardiovascular hospitalisation, major bleeding, mortality and a composite of all these outcomes in care home residents.
Methods
A retrospective cohort study of older care home residents (≥65 years) in Wales with AF was conducted between 1 January 2003 and 31 December 2018 using the Secure Anonymised Information Linkage Databank. Adherence to the ABC pathway was assessed at care home entry using pre-specified definitions. Cox proportional hazard and competing risk models were used to estimate the risk of health …
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LA Ritchie, SL Harrison, PE Penson, A Akbari, F Torabi… - Age and Ageing, 2024