The process of atrial fibrillation treatment in hospitals in Iran
Message:
Abstract:
Background

Lack of attention to standardized guidelines has caused tragic outcome in patients with atrial fibrillation and ultimately increase of financial burden imposed on the community structure of the economic system. Therefore, the present study was aimed to assess the exposure of patients with atrial fibrillation.

Methods

A total of 506 patients with atrial fibrillation were evaluated. After setting the gold standard (America Heart Association protocol) and data collection, kappa (κ) coefficient was calculated for inter-rater reliability of the measures taken by physicians with the gold standard.

Results

The most common procedure was the use of digoxin in controlling the rate prescribed. Kappa coefficient obtained in this area with 0.12 (95% CI: 0.096-0.14), which was in poor condition means that the measures provided by physicians was far from the gold standard (p<0.0001). The kappa coefficient of anticoagulation therapy was also equal to 0.07 (95% CI: 0.001-0.14). Hence, the consistency of adopted procedure by physicians with the gold standard anticoagulation was low (p=0.023).

Conclusion

This study showed that a large percentage of physicians are not aware of the standards of care, and are using the old method. This may cause serious consequences and increased disease burden on patients and the healthcare system of the country.

Language:
Persian
Published:
Razi Journal of Medical Sciences, Volume:21 Issue: 9, 2014
Pages:
43 to 54
magiran.com/p1351224  
دانلود و مطالعه متن این مقاله با یکی از روشهای زیر امکان پذیر است:
اشتراک شخصی
با عضویت و پرداخت آنلاین حق اشتراک یک‌ساله به مبلغ 990,000ريال می‌توانید 70 عنوان مطلب دانلود کنید!
اشتراک سازمانی
به کتابخانه دانشگاه یا محل کار خود پیشنهاد کنید تا اشتراک سازمانی این پایگاه را برای دسترسی نامحدود همه کاربران به متن مطالب تهیه نمایند!
توجه!
  • حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران می‌شود.
  • پرداخت حق اشتراک و دانلود مقالات اجازه بازنشر آن در سایر رسانه‌های چاپی و دیجیتال را به کاربر نمی‌دهد.
دسترسی سراسری کاربران دانشگاه پیام نور!
اعضای هیئت علمی و دانشجویان دانشگاه پیام نور در سراسر کشور، در صورت ثبت نام با ایمیل دانشگاهی، تا پایان فروردین ماه 1403 به مقالات سایت دسترسی خواهند داشت!
In order to view content subscription is required

Personal subscription
Subscribe magiran.com for 50 € euros via PayPal and download 70 articles during a year.
Organization subscription
Please contact us to subscribe your university or library for unlimited access!