Study: ER could be front line for stroke prevention

agnosed by electro-cardiogram (EKG) in a six-month period in one of three emergency departments in tertiary-care hospitals: UMHS, St. Joseph Mercy Hospital in Ann Arbor, MI, and University of Cincinnati Hospital.

Working from medical records and a database of EKG records, the researchers identified 78,787 emergency patient visits, and 15,238 EKG results. Of those who had EKGs, 871 had AF, and full records were available for 866 of them. This gave the overall AF incidence rate of 1.1 percent.

Patients who had no previous AF diagnosis, or whose AF involved a heart valve, were not included in an analysis of medication patterns. A total of 478 individual patients with recurrent non-valvular AF, 63 of whom had more than one ER visit in the study period, were identified.

The mean age of the 478 patients was 74.5 years, meaning that many of the patients were at an increased risk of stroke not only from their AF but also from their age. Just over one-quarter of the patients had three high-risk factors for stroke.

Warfarin isn't for everyone, so Scott and his colleagues used strict standard guidelines to determine who was eligible for the drug and who wasn't, including those who had bleeding and liver problems, a history of falls or problems walking, or uncontrolled high blood pressure. A total of 240 patients weren't eligible for warfarin under these guidelines, and even some of the patients who were found to be on warfarin would have been ineligible under the guidelines.

Of the 291 patients who were eligible for warfarin, only 55 percent were on the drug. Another 22 percent were using antiplatelet drugs that can help slow clotting. But 23 percent were getting no stroke-prevention therapy at all. And of those who weren't eligible for warfarin but could take antiplatelet or aspirin therapy, only 34 percent were using any of the drugs.

The study also looked at the results of blood-clotting tests called INRs, to see if patien

Contact: Kara Gavin
University of Michigan Health System

Page: 1 2 3 4

Related medicine news :

1. Study: Two brain systems regulate how we call for help
2. Study: Eye contact triggers threat signals in autistic childrens brains
3. Study: Young adults can be motivated to eat fruits, veggies
4. Study: Physical activity in middle age cuts risk of early death
5. Study: Brain battles itself over short-term rewards, long-term goals
6. Study: Dementia often undiagnosed in clinical settings
7. Study: Too few doctors ask teens about smoking
8. Study: Low-carb diet more effective than low-fat diet
9. Study: Many men take dietary supplements to prevent prostate cancer
10. Study: Height loss screen ultimately could reduce hip fractures
11. Study: New neurons can get out of spinal cord

Post Your Comments:

(Date:11/27/2015)... ... 2015 , ... Consistent with the Radiology Business Management ... Radiology Marketing Programs meeting will showcase some of the best 2015 radiology ... Palace in Las Vegas with a pre-conference session on a collaborative approach for ...
(Date:11/27/2015)... Minn. (PRWEB) , ... November 27, 2015 , ... ... start failing. Secura Consultants has prided itself for not only fulfilling the needs ... income protection solutions at an affordable price and providing top-tier customer service. However, ...
(Date:11/27/2015)... , ... November 27, 2015 , ... ... largest, most successful and prominent nonprofit healthcare organizations in the country. They have ... with various organizations, and helped advance the healthcare industry as a whole through ...
(Date:11/27/2015)... ... , ... Indosoft Inc., developer and distributor of the world-class ... (Long Term Support) into its Q-Suite 5.10 product line. , Making the change ... version of Asterisk that will receive not only security fixes, but feature and ...
(Date:11/26/2015)... ... November 26, 2015 , ... CognisantMD ... for diagnostic imaging in the Waterloo region. Using the Ocean Platform, family physicians ... directly from their electronic medical record (EMR) without the need for redundant patient ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... , Nov. 25, 2015 On Tuesday, ... federal bellwether trial against Wright Medical Technology, Inc. ... their Conserve metal-on-metal hip implant device, awarded $11 ... a two week trial and three days of ... hip device was defectively designed and unreasonably dangerous, ...
(Date:11/25/2015)... Nov. 25, 2015  Henry Schein, Inc., the world,s ... office-based dental, medical and animal health practitioners, will unveil ... Henry Schein ConnectDental® Pavilion , which brings together ... open solutions designed to help any practice or laboratory ... for a schedule of experts appearing at the ...
(Date:11/25/2015)... 2015 Allergan plc (NYSE: AGN ) today ... New York State Attorney General,s Office to ... and other statutes with the Attorney General over the decision ... marketing and selling the now generic version of memantine immediate ... liability, has released its counterclaims against New York ...
Breaking Medicine Technology:
Cached News: