Volume 20 No 13 (2022)
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Comprehensive approach to atrial fibrillation in primary care
Dr. Flor Betzabet Morocho Quinchuela, Adriana López Falcón, a Professor of Medicine at the Uni
Abstract
Introduction: Integrated care has been proposed as a solution to the growing disease burden of atrial
fibrillation
Objective: To assess whether integrated care of AF organized in primary care is not inferior to usual care.
Methods: A pragmatic, open-label, cluster-randomized, noninferiority study was conducted in 26 primary
care practices.
Results: the reduction in the risk of noncardiovascular mortality was more pronounced than the
reduction in the risk of cardiovascular mortality [adjusted HR for noncardiovascular mortality 0.47 (95%
CI 0.27-0.82).
Conclusions: All-cause mortality was reduced by providing integrated care for the elderly with AF in
primary care compared to usual care
Keywords
atrial fibrillation, mortality, primary care, elderly Source: DeCS
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