How to manage patients with atrial fibrillation in a general hospital


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Abstract

Aim. To evaluate efficacy of use of technological charts (TC) in upgrading management and treatment
safety in patients with atrial fibrillation (AF).
Material and methods. Two groups of AF patients were compared: 196 patients treated before introduction of TC (group 1) and 431 patients managed according to TC technology (group 2).
Results. In group 2 treatment duration reduced from 26.1 to 18.5 days, ^hospitalizations occurred by
6% less frequently, number of unexpected side effects fell 2.5-fold, the rate ofvarfarin prescription for
prevention of thromboembolic complications rose from 18 to 64%, the patients were satisfied with the
treatment in 97% vs past 79%.
Conclusion. TC was a tool of treatment improvement and introduction of the latest clinical recommendations into clinical practice with reference to facilities and staff qualification of an individual hospital
without additional financial input.

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