No registrations found.
ID
Source
Health condition
Atrial Fibrillation, Prevention, Stroke, Bleeding, Anticoagulants
Sponsors and support
Intervention
Outcome measures
Primary outcome
The proportion of patients with atrial fibrillation whose anti-thrombotic treatment is in accordance with the ESC guideline for atrial fibrillation.
Secondary outcome
N/A
Background summary
A decision support system will be implemented in the cardiologists EHR. This system will calculate the bleeding and stroke risk of patients (CHA2DS2-VASc score and HAS-BLED score), triggered by entering the diagnosis atrial fibrillation in the EHR. The system calculates the risk scores based on values already available in the EHR, and advices on antithrombotic treatment in terms of OAC/NOAC.
Our main outcomes will be the percentage of accurate anti thrombotic prescriptions in patients with atrial fibrillation according to the ESC guideline for atrial fibrillation.
Study objective
The use of a decision support system will increase adherence to the ESC guideline for atrial fibrillation in terms of calculation of bleeding and stroke risk, and accurate anti-thrombotic treatment for stroke prevention.
Study design
Data of each patient visiting the cardiologist for AF are saved automatically. Adherence is measured at the end of the study.
Intervention
The decision support system is implemented within the electronic health record (EHR) of a patient. When entering the diagnoses atrial fibrillation in the EHR of the patient, the system calculates the risk of stroke (CHA2DS2-VASc score) and the risk of bleeding (HAS-BLED score) based on the values entered/saved in the EHR. Furthermore, based on the calculated bleeding and stroke risk, a medication advice is given in terms of OAC/NOAC.
The intervention arm received the embedded decision support withing the EHR, whereas the control arm uses the EHR without the decision support system.
Inclusion criteria
Patients: All patients with atrial fibrillation visiting the cardiologist of one of the three selected hospitals.
Cardiologists: All cardiologists working at one of the three selected hospitals in the Netherlands
Exclusion criteria
N/A
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL4768 |
| NTR-old | NTR5011 |
| Other | : ExpertAF-EHR |