Status:
ENROLLING_BY_INVITATION
Optimizing Stroke Prophylaxis of Acute Atrial Fibrillation With an Electronic Clinical Decision Support Tool
Lead Sponsor:
Oregon Health and Science University
Conditions:
Atrial Fibrillation
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Atrial fibrillation (AF) is the most common arrhythmia in the world, with significant morbidity and mortality. With appropriate oral anticoagulation, the risk of stroke due to atrial fibrillation decr...
Detailed Description
OBJECTIVES: AIM 1: Compare the magnitude of change of appropriate OAC prescribing over time at each ED with EHR-Based CDS tool implementation. H1a. A CDS tool will increase the prescribing of OACs a...
Eligibility Criteria
Inclusion
- Inclusion Criteria (Patients):
- A diagnosis of atrial fibrillation or paroxysmal atrial fibrillation (ICD-10 I48.0, I48.1, I48.9) during an ED visit with start dates between 1/11/2022 and 12/31/2025 within the patient's age \>18 years.
- Exclusion Criteria (Patients):
- Valvular disease, pregnancy, large esophageal varices, thrombocytopenia, severe or uncontrolled bleeding, severe liver or kidney disease, major surgery within 72 hours; OR
- Recent brain, eye or spinal cord injury or surgery; OR
- ED stroke, death or hospitalization at index visit; OR
- Patient transferred from another hospital (to ensure availability of index ED visit data); OR
- Left against medical advice; OR
- Evidence of non-OAC naïve patient:
- OAC prescribed in the prior 3mo to index ED visit; OR
- Being managed by an anticoagulation clinic (ACC);
- Inclusion/Exclusion Criteria (Clinicians): All ED clinicians (board certified or eligible) interfacing with patients.
Exclusion
Key Trial Info
Start Date :
January 11 2022
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
May 1 2026
Estimated Enrollment :
36 Patients enrolled
Trial Details
Trial ID
NCT05341986
Start Date
January 11 2022
End Date
May 1 2026
Last Update
March 20 2025
Active Locations (1)
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1
Oregon Health & Science University (OHSU)
Portland, Oregon, United States, 97239