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Gegevens uit wereldwijde atriumfibrillatieregister tonen aan dat antistollingsmiddelen niet optimaal worden gebruikt ter preventie van beroerte
Date:9/2/2014

erschaffen in de impact van antistollingsbehandeling op trombo-embolische en bloedingscomplicaties die worden gezien in deze patiëntenpopulatie. Het zal een beter inzicht geven in de potentiële mogelijkheden voor het verbeteren van de zorg en de klinische uitkomsten onder een representatieve en diverse groep patiënten en onder verschillende populaties. Dit zou artsen en gezondheidszorgsystemen moeten helpen om op de juiste wijze te vernieuwen, om te zorgen voor de beste uitkomsten voor patiënten en populaties.

Het register startte in december 2009. Vier cruciale ontwerpkenmerken van het GARFIELD-AF-protocol verzekeren een uitgebreide en representatieve beschrijving van AF:

  • Vijf opvolgende cohorten van prospectieve, recent gediagnosticeerde patiënten, ter vergemakkelijking van vergelijkingen van afzonderlijke tijdperioden en beschrijving van de ontwikkeling van behandelingen en uitkomsten.
  • Onderzoekerscentra die willekeurig worden geselecteerd binnen nauwgezet toegewezen nationale AF-zorgsettingverdelingen, wat verzekert dat de ingeschreven patiëntenpopulatie representatief is.
  • Inschrijving van achtereenvolgende in aanmerking komende patiënten ongeacht de behandeling, om mogelijke selectiebias te voorkomen.
  • Follow-upgegevens verkregen gedurende minimaal 2 en maximaal 8 jaar na de diagnose, met als doel het ontwikkelen van een uitgebreide database van behandelingsbeslissingen en -uitkomsten in de dagelijkse klinische praktijk.

    De geïncludeerde patiënten zijn gediagnosticeerd met niet-valvulaire AF binnen de voorafgaande 6 weken en hebben minimaal één aanvullende risicofactor voor beroerte en zijn als zodanig potentiële kandidaten voor antistollingsbehandeling ter preventie van bloedstolsels die leiden tot beroerte. Het wordt aan het klinisch oordeel van de onderzoeker overgelaten om de risic
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