Perfil clínico y satisfacción con el tratamiento anticoagulante en pacientes con fibrilación auricular no valvular atendidos en consultas de medicina interna y neurología de España

Translated title of the contribution: Clinical profile and satisfaction with anticoagulated treatment in patients with non-valvular atrial fibrillation attended in internal medicine and neurology departments of Spain

Gemma Reig-Roselló, M. Mar Contreras, Carmen Suárez-Fernández, Ayoze González-Hernández, Pere Cardona, José M. Pons-Amate, Joan Martí-Fábregas, José Vivancos, A. Pose, J. A. Díaz, M. Rodríguez, M. Pena, S. Arias, D. Larrosa, A. González, E. Rodríguez, M. González, D. Fernández, C. Barbagelata, N. RañaS. Freire, J. M. Cerqueiro, H. Guerrero, L. Ramos, L. Álvarez, J. M. De Lis, C. Caro, M. Seijo, S. Mederer, M. A. De Zarraga, J. Ferreiro, J. M. Terrero, M. Arias, R. Pérez, J. Sánchez, J. Maciñeiras, J. Fernández, F. Jaén, D. Esteva, M. Zamora, N. Navarrete, J. García, L. Mérida, M. A. Corrales, R. Quirós, J. Cantero, F. J. Barrero, I. Villegas, J. Castro, J. Romero, en nombre de los investigadores del estudio ALADIN

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Aim. To determine the clinical profile, management of anticoagulant treatment and satisfaction related to anticoagulation in outpatients with nonvalvular atrial fibrillation attended in Neurology or Internal Medicine departments of Spain. Patients and methods. Cross-sectional and multicenter study, in which 1,337 outpatients were included. Patients fulfilled ACTS, SAT-Q and EQ-5D questionnaires. Results. 865 patients (64.7%) were recruited from Neurology department and 472 (35.3%) from Internal Medicine department. Those patients attended in Internal Medicine department were older and had more frequently hypertension, diabetes, heart failure, renal insufficiency and peripheral artery disease. Those patients attended in Neurology department had more commonly prior stroke. Overall, CHADS2 score was 3.2 ± 1.3, CHA2DS2-Vasc 4.8 ± 1.5 and HAS-BLED 2.0 ± 0.9. All scores were higher in those patients attended in Neurology department. Globally, 56.1% of patients were taking vitamin K antagonists, more commonly in Internal Medicine department. The adequate percent of time in therapeutic range was 47% (Rosendaal), without significant differences between groups. Satisfaction with oral anticoagulation was high in both groups, but higher in those attended in Neurology department, and higher in those individuals taking direct oral anticoagulants compared with vitamin K antagonists. Conclusions. Although there were some differences in the clinical profile of patients with atrial fibrillation attended in Neurology or Internal Medicine departments, all of them had many comorbidities and a high thromboembolic risk. Despite INR control was poor, the most common oral anticoagulant used were vitamin K antagonists. Satisfaction related to oral anticoagulation was high.

Original languageSpanish
Pages (from-to)361-367
Number of pages7
JournalRevista de Neurologia
Volume65
Issue number8
StatePublished - Oct 16 2017

Fingerprint

Neurology
Internal Medicine
Spain
Atrial Fibrillation
Vitamin K
Anticoagulants
Therapeutics
Outpatients
International Normalized Ratio
Peripheral Arterial Disease
Multicenter Studies
Renal Insufficiency
Comorbidity
Heart Failure
Cross-Sectional Studies
Stroke
Hypertension

Keywords

  • Anticoagulation
  • Atrial fibrillation
  • Internal medicine
  • Neurology
  • Quality of life
  • Satisfaction

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Reig-Roselló, G., Contreras, M. M., Suárez-Fernández, C., González-Hernández, A., Cardona, P., Pons-Amate, J. M., ... en nombre de los investigadores del estudio ALADIN (2017). Perfil clínico y satisfacción con el tratamiento anticoagulante en pacientes con fibrilación auricular no valvular atendidos en consultas de medicina interna y neurología de España. Revista de Neurologia, 65(8), 361-367.

Perfil clínico y satisfacción con el tratamiento anticoagulante en pacientes con fibrilación auricular no valvular atendidos en consultas de medicina interna y neurología de España. / Reig-Roselló, Gemma; Contreras, M. Mar; Suárez-Fernández, Carmen; González-Hernández, Ayoze; Cardona, Pere; Pons-Amate, José M.; Martí-Fábregas, Joan; Vivancos, José; Pose, A.; Díaz, J. A.; Rodríguez, M.; Pena, M.; Arias, S.; Larrosa, D.; González, A.; Rodríguez, E.; González, M.; Fernández, D.; Barbagelata, C.; Raña, N.; Freire, S.; Cerqueiro, J. M.; Guerrero, H.; Ramos, L.; Álvarez, L.; De Lis, J. M.; Caro, C.; Seijo, M.; Mederer, S.; De Zarraga, M. A.; Ferreiro, J.; Terrero, J. M.; Arias, M.; Pérez, R.; Sánchez, J.; Maciñeiras, J.; Fernández, J.; Jaén, F.; Esteva, D.; Zamora, M.; Navarrete, N.; García, J.; Mérida, L.; Corrales, M. A.; Quirós, R.; Cantero, J.; Barrero, F. J.; Villegas, I.; Castro, J.; Romero, J.; en nombre de los investigadores del estudio ALADIN.

In: Revista de Neurologia, Vol. 65, No. 8, 16.10.2017, p. 361-367.

Research output: Contribution to journalArticle

Reig-Roselló, G, Contreras, MM, Suárez-Fernández, C, González-Hernández, A, Cardona, P, Pons-Amate, JM, Martí-Fábregas, J, Vivancos, J, Pose, A, Díaz, JA, Rodríguez, M, Pena, M, Arias, S, Larrosa, D, González, A, Rodríguez, E, González, M, Fernández, D, Barbagelata, C, Raña, N, Freire, S, Cerqueiro, JM, Guerrero, H, Ramos, L, Álvarez, L, De Lis, JM, Caro, C, Seijo, M, Mederer, S, De Zarraga, MA, Ferreiro, J, Terrero, JM, Arias, M, Pérez, R, Sánchez, J, Maciñeiras, J, Fernández, J, Jaén, F, Esteva, D, Zamora, M, Navarrete, N, García, J, Mérida, L, Corrales, MA, Quirós, R, Cantero, J, Barrero, FJ, Villegas, I, Castro, J, Romero, J & en nombre de los investigadores del estudio ALADIN 2017, 'Perfil clínico y satisfacción con el tratamiento anticoagulante en pacientes con fibrilación auricular no valvular atendidos en consultas de medicina interna y neurología de España', Revista de Neurologia, vol. 65, no. 8, pp. 361-367.
Reig-Roselló G, Contreras MM, Suárez-Fernández C, González-Hernández A, Cardona P, Pons-Amate JM et al. Perfil clínico y satisfacción con el tratamiento anticoagulante en pacientes con fibrilación auricular no valvular atendidos en consultas de medicina interna y neurología de España. Revista de Neurologia. 2017 Oct 16;65(8):361-367.
Reig-Roselló, Gemma ; Contreras, M. Mar ; Suárez-Fernández, Carmen ; González-Hernández, Ayoze ; Cardona, Pere ; Pons-Amate, José M. ; Martí-Fábregas, Joan ; Vivancos, José ; Pose, A. ; Díaz, J. A. ; Rodríguez, M. ; Pena, M. ; Arias, S. ; Larrosa, D. ; González, A. ; Rodríguez, E. ; González, M. ; Fernández, D. ; Barbagelata, C. ; Raña, N. ; Freire, S. ; Cerqueiro, J. M. ; Guerrero, H. ; Ramos, L. ; Álvarez, L. ; De Lis, J. M. ; Caro, C. ; Seijo, M. ; Mederer, S. ; De Zarraga, M. A. ; Ferreiro, J. ; Terrero, J. M. ; Arias, M. ; Pérez, R. ; Sánchez, J. ; Maciñeiras, J. ; Fernández, J. ; Jaén, F. ; Esteva, D. ; Zamora, M. ; Navarrete, N. ; García, J. ; Mérida, L. ; Corrales, M. A. ; Quirós, R. ; Cantero, J. ; Barrero, F. J. ; Villegas, I. ; Castro, J. ; Romero, J. ; en nombre de los investigadores del estudio ALADIN. / Perfil clínico y satisfacción con el tratamiento anticoagulante en pacientes con fibrilación auricular no valvular atendidos en consultas de medicina interna y neurología de España. In: Revista de Neurologia. 2017 ; Vol. 65, No. 8. pp. 361-367.
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T1 - Perfil clínico y satisfacción con el tratamiento anticoagulante en pacientes con fibrilación auricular no valvular atendidos en consultas de medicina interna y neurología de España

AU - Reig-Roselló, Gemma

AU - Contreras, M. Mar

AU - Suárez-Fernández, Carmen

AU - González-Hernández, Ayoze

AU - Cardona, Pere

AU - Pons-Amate, José M.

AU - Martí-Fábregas, Joan

AU - Vivancos, José

AU - Pose, A.

AU - Díaz, J. A.

AU - Rodríguez, M.

AU - Pena, M.

AU - Arias, S.

AU - Larrosa, D.

AU - González, A.

AU - Rodríguez, E.

AU - González, M.

AU - Fernández, D.

AU - Barbagelata, C.

AU - Raña, N.

AU - Freire, S.

AU - Cerqueiro, J. M.

AU - Guerrero, H.

AU - Ramos, L.

AU - Álvarez, L.

AU - De Lis, J. M.

AU - Caro, C.

AU - Seijo, M.

AU - Mederer, S.

AU - De Zarraga, M. A.

AU - Ferreiro, J.

AU - Terrero, J. M.

AU - Arias, M.

AU - Pérez, R.

AU - Sánchez, J.

AU - Maciñeiras, J.

AU - Fernández, J.

AU - Jaén, F.

AU - Esteva, D.

AU - Zamora, M.

AU - Navarrete, N.

AU - García, J.

AU - Mérida, L.

AU - Corrales, M. A.

AU - Quirós, R.

AU - Cantero, J.

AU - Barrero, F. J.

AU - Villegas, I.

AU - Castro, J.

AU - Romero, J.

AU - en nombre de los investigadores del estudio ALADIN

PY - 2017/10/16

Y1 - 2017/10/16

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AB - Aim. To determine the clinical profile, management of anticoagulant treatment and satisfaction related to anticoagulation in outpatients with nonvalvular atrial fibrillation attended in Neurology or Internal Medicine departments of Spain. Patients and methods. Cross-sectional and multicenter study, in which 1,337 outpatients were included. Patients fulfilled ACTS, SAT-Q and EQ-5D questionnaires. Results. 865 patients (64.7%) were recruited from Neurology department and 472 (35.3%) from Internal Medicine department. Those patients attended in Internal Medicine department were older and had more frequently hypertension, diabetes, heart failure, renal insufficiency and peripheral artery disease. Those patients attended in Neurology department had more commonly prior stroke. Overall, CHADS2 score was 3.2 ± 1.3, CHA2DS2-Vasc 4.8 ± 1.5 and HAS-BLED 2.0 ± 0.9. All scores were higher in those patients attended in Neurology department. Globally, 56.1% of patients were taking vitamin K antagonists, more commonly in Internal Medicine department. The adequate percent of time in therapeutic range was 47% (Rosendaal), without significant differences between groups. Satisfaction with oral anticoagulation was high in both groups, but higher in those attended in Neurology department, and higher in those individuals taking direct oral anticoagulants compared with vitamin K antagonists. Conclusions. Although there were some differences in the clinical profile of patients with atrial fibrillation attended in Neurology or Internal Medicine departments, all of them had many comorbidities and a high thromboembolic risk. Despite INR control was poor, the most common oral anticoagulant used were vitamin K antagonists. Satisfaction related to oral anticoagulation was high.

KW - Anticoagulation

KW - Atrial fibrillation

KW - Internal medicine

KW - Neurology

KW - Quality of life

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