Quality of clinical documentation and anticoagulation control in patients with chronic nonvalvular atrial fibrillation in routine medical care

Am J Med Qual. 2007 Sep-Oct;22(5):327-33. doi: 10.1177/1062860607303003.

Abstract

Objective: Anticoagulation quality and record documentation were retrospectively assessed in patients with chronic nonvalvular atrial fibrillation (CNVAF) managed in a routine care setting.

Methods: Medical record data extraction from physician practices in 4 regions of the United States.

Results: Of 686 patients, 59% had an electrocardiogram confirming CNVAF, 84% listed at least 1 stroke risk factor, and 60% indicated the goal target international normalized ratio (INR). Two thirds of INRs>3.0 or <2.0 had no recorded dose change, nor did 45% of INRs>5.0. Vitamin K was given (3%) or anticoagulation was temporarily discontinued (9%) for INRs>5.0. The median interval of INR testing was 21 days, which decreased to 7 days for INRs> 4.60. Patients spent 58% of the time in therapeutic range.

Conclusion: Serious deficiencies in quality and documentation of routine medical care of anticoagulation for patients with CNVAF continue to exist.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anticoagulants / administration & dosage
  • Anticoagulants / therapeutic use*
  • Antifibrinolytic Agents / therapeutic use
  • Atrial Fibrillation / drug therapy*
  • Chronic Disease
  • Documentation / standards*
  • Female
  • Humans
  • International Normalized Ratio
  • Male
  • Middle Aged
  • Primary Health Care / organization & administration
  • Primary Health Care / standards*
  • Quality of Health Care*
  • Retrospective Studies
  • Risk Factors
  • Stroke / epidemiology
  • Stroke / prevention & control
  • United States
  • Vitamin K / therapeutic use

Substances

  • Anticoagulants
  • Antifibrinolytic Agents
  • Vitamin K