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dc.contributor.authorBaşaran, Özcan
dc.contributor.authorDoğan, Volkan
dc.contributor.authorBiteker, Murat
dc.contributor.authorKaradeniz Özpamuk, Fatma
dc.contributor.authorTekkesin, Ahmet İlker
dc.contributor.authorÇakıllı, Yasin
dc.contributor.authorTürkkan, Ceyhan
dc.contributor.authorHamidi, Mehmet
dc.contributor.authorDemir, Vahit
dc.contributor.authorGürsoy, Mustafa Ozan
dc.contributor.authorÖztürk, Müjgan Tek
dc.contributor.authorAksan, Gökhan
dc.contributor.authorSeyis, Sabri
dc.contributor.authorBallı, Mehmet
dc.contributor.authorAlıcı, Mehmet Hayri
dc.contributor.authorBozyel, Serdar
dc.contributor.authorKırma, Cevat
dc.contributor.authorBeton, Osman
dc.contributor.authorTekinalp, Mehmet
dc.contributor.authorAykan, Ahmet Çağrı
dc.contributor.authorKalaycıoğlu, Ezgi
dc.contributor.authorBolat, İsmail
dc.contributor.authorTaşar, Onur
dc.contributor.authorŞafak, Özgen
dc.contributor.authorKalçık, Macit
dc.contributor.authorYaman, Mehmet
dc.contributor.authorİnci, Sinan
dc.contributor.authorAltıntaş, Bernas
dc.contributor.authorKalkan Semih
dc.contributor.authorÇalık, Feyza
dc.contributor.authorKaraca, Oğuz
dc.contributor.authorHelvacı, Füsun
dc.contributor.authorAkay Halli, Kadriye
dc.contributor.authorÇanga, Yiğit
dc.contributor.authorÇelebi, Savaş
dc.contributor.authorAltuntaş, Emine
dc.contributor.authorAytürk, Mehmet
dc.contributor.authorGüneş, Hacı Murat
dc.contributor.authorBezgin, Tahir
dc.contributor.authorAksakal, Aytekin
dc.contributor.authorÇakal, Beytullah
dc.contributor.authorÇolak, Ayşe
dc.contributor.authorKaplan, Özgür
dc.contributor.authorTatlısu, Adem
dc.contributor.authorGözübüyük, Gökhan
dc.contributor.authorDemirelli, Selami
dc.contributor.authorKaya, Adnan
dc.contributor.authorRencüzoğulları, İbrahim
dc.contributor.authorBayram, Zübeyde
dc.contributor.authorŞimşek, Ziya
dc.contributor.authorCivan, Murat
dc.contributor.authorBatgharel, Ulaankhu
dc.contributor.authorAta, Ali Ekber
dc.contributor.authorGöl, Gökhan
dc.contributor.authorMert Gurbet Özge
dc.contributor.authorMert, Kadir Uğur
dc.contributor.authorDeğirmencioğlu, Aleks
dc.contributor.authorCandan, Özkan
dc.contributor.authorÇelebi Özcan, Özlem
dc.contributor.authorDoğan, Cem
dc.contributor.authorYavuz, Fethi
dc.contributor.authorUlucan, Şeref
dc.contributor.authorArısoy, Arif
dc.contributor.authorŞahin Dilekçi, Bingül
dc.contributor.authorErmiş, Emrah
dc.contributor.authorGökaslan, Serkan
dc.contributor.authorPektaş, İdris
dc.contributor.authorTanındı, Aslı
dc.contributor.authorTekin, Kamuran
dc.contributor.authorSancar Memiç, Kadriye
dc.contributor.authorÇekiç, Edip Güvenç
dc.contributor.authorBaşaran, Filiz Nesrin
dc.contributor.authorAltun, İbrahim
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:40Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:40Z
dc.date.issued2017en_US
dc.identifier.citationBaşaran Ö., Dogan V., Biteker M., Karadeniz F.Ö., Tekkesin A., Çakıllı Y. ... Altun I. (2017). Guideline-adherent therapy for stroke prevention in atrial fibrillation in different health care settings: Results from ramses study. European Journal of Internal Medicine, 40, 50-55. https://dx.doi.org/10.1016/j.ejim.2017.02.011en_Us
dc.identifier.issn0953-6205
dc.identifier.issn1879-0828
dc.identifier.urihttps://hdl.handle.net/20.500.12511/895
dc.identifier.urihttps://dx.doi.org/10.1016/j.ejim.2017.02.011
dc.description.abstractObjective No studies have been conducted in Turkey to compare the quality of stroke prevention therapies provided in different healthcare settings in patients with atrial fibrillation (AF). Therefore, we aimed to evaluate possible differences between secondary (SH) and tertiary hospital (TH) settings in the effectiveness of implementing AF treatment strategies. Methods Baseline characteristics of 6273 patients with non-valvular AF enrolled in the RAMSES (ReAl-life Multicentre Survey Evaluating Stroke Prevention Strategies in Turkey) study were compared. Results Of the study population, 3312 (52.8%) patients were treated in THs and 2961 (47.2%) patients were treated in SHs. Patients treated in the SH setting were older (70.8 ± 9.8 vs. 68.7 ± 11.4 years, p < 0.001), had a lower socioeconomic status, had a higher CHA2DS2VASc and HASBLED scores (3.4 ± 1.4 vs. 3.1 ± 1.7, p < 0.001 and 1.7 ± 1.0 vs. 1.6 ± 1.1, p < 0.001 respectively), and had more comorbidities than patients treated in THs. Inappropriate oral anticoagulant use was more prevalent in SHs than THs (31.4% vs. 25.6%, p < 0.001). When over- and undertreatment rates were compared among hospital types, overtreatment was more prevalent in THs (7.6% vs. 0.9%, p < 0.001) while undertreatment was more common in SHs (30.5% vs. 17.9%, p < 0.001). Conclusion This study demonstrates the marked disparity between patient groups with AF presenting at SHs and THs. The use of guideline-recommended therapy is not adequate in either type of centre, overtreatment was more prevalent in THs and undertreatment was more prevalent in SHs.en_US
dc.language.isoengen_US
dc.publisherElsevier B.V.en_US
dc.rightsinfo:eu-repo/semantics/embargoedAccessen_US
dc.subjectAtrial Fibrillationen_US
dc.subjectGuideline Adherenceen_US
dc.subjectOral Anticoagulant Therapyen_US
dc.subjectStroke Preventionen_US
dc.titleGuideline-adherent therapy for stroke prevention in atrial fibrillation in different health care settings: Results from ramses studyen_US
dc.typearticleen_US
dc.relation.ispartofEuropean Journal of Internal Medicineen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalıen_US
dc.identifier.volume40en_US
dc.identifier.startpage50en_US
dc.identifier.endpage55en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1016/j.ejim.2017.02.011en_US
dc.identifier.wosqualityQ1en_US
dc.identifier.scopusqualityQ2en_US


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