A Study to Quantify Use of Anticoagulation to Improve Management of Atrial Fibrillation



Status:Recruiting
Conditions:Atrial Fibrillation
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:40 - Any
Updated:2/14/2019
Start Date:December 29, 2017
End Date:May 30, 2020
Contact:Study Contact
Email:JNJ.CT@sylogent.com
Phone:844-434-4210

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Quantify Use of Anticoagulation to Improve Management of AF

The purpose of this study is to evaluate the impact of a hospital quality improvement (QI)
program on the use of guideline-recommended oral anticoagulants (OAC) in hospitalized
patients with atrial fibrillation (AF) at risk for ischemic stroke. Specifically, the study
will determine whether the intervention, compared to Usual Care, will result in a greater
increase in the proportion of patients with AF at risk for ischemic stroke who are
appropriately treated with OAC.


Inclusion Criteria:

- Inpatient hospitalization

- Primary or secondary discharge International Classification of Diseases (ICD)-9/10
diagnosis code for AF paroxysmal (I48.0), persistent (I48.1), chronic (I48.2), or
unspecified (427.31, I48.91)

- Proxied Congestive Heart failure (CHA2DS2-VASC) score greater than or equal to (>=) 2
using ICD-9 diagnosis scoring algorithm developed previously. The scoring algorithm
will be expanded to include ICD-10 codes

- Discharged to home, skilled nursing facility, inpatient rehabilitation, or nursing
home

Exclusion Criteria:

- Presence of artificial mechanical heart valve by ICD-9/10 diagnosis or procedure code
during comorbid identification period or current hospitalization

- Surgical procedure during hospitalization for open heart surgery, brain, or spine

- Intravenous heparin given on the day of discharge without warfarin/oral anticoagulant
(OAC), antiplatelets, and/or aspirin

- History of left atrial appendage occlusion, including the Watchman device

- Any in-hospital (current hospitalization) bleeding identified by ICD-9/10 diagnosis
codes
We found this trial at
62
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Bay Shore, New York 11706
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300 Community Drive
Manhasset, New York 11030
(516) 562-0100
North Shore University Hospital North Shore-LIJ Health System includes 16 award-winning hospitals and nearly 400...
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Abilene, Texas 79601
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Alexandria, Virginia 22304
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Allentown, Pennsylvania 18102
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Anderson, South Carolina 29621
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Baltimore, Maryland 21229
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Binghamton, New York 13905
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Bolingbrook, Illinois 60440
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Cincinnati, Ohio 45255
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Cincinnati, Ohio 45236
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Dallas, Texas 75203
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Dallas, Texas 75237
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Danville, Kentucky 40422
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100 North Academy Avenue
Danville, Pennsylvania 17822
570-271-6211
Geisinger Medical Center Since 1915, Geisinger Medical Center has been known as the region’s resource...
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Elk Grove Village, Illinois 60007
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Falls Church, Virginia 22042
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Forest Hills, New York 11375
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450 East 23rd Street
Fremont, Nebraska 68025
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Glendale, Arizona 85306
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Greeley, Colorado 80631
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80 Seymour St
Hartford, Connecticut 6102
(860) 545-5000
The Hartford Hospital Hartford Hospital is the major teaching hospital affiliated with the University of...
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Hinsdale, Illinois 60521
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Hoffman Estates, Illinois 60169
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Huntington, New York 11743
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Huntington, West Virginia 25702
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1521 Gull Rd
Kalamazoo, Michigan 49048
269) 226-7000
Borgess Medical Center At Borgess, healing is our calling. This is the place where people...
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La Grange, Illinois 60525
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Mansfield, Texas 76063
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Mesa, Arizona 85202
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Mesa, Arizona 85206
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Mesa, Arizona 85206
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Morgantown, West Virginia 26505
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Mount Vernon, Illinois 62864
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100 Grand St
New Britain, Connecticut 06050
(860) 224-5011
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270-05 76th Ave
New Hyde Park, New York 11040
(718) 470-7480
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New York, New York 10021
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Newport News, Virginia 23601
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Oklahoma City, Oklahoma 73104
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Oregon, Ohio 43616
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Phoenix, Arizona 85006
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Phoenix, Arizona 85037
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One Plainsboro Road
Plainsboro, New Jersey 08536
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65 West Jimmie Leeds Road
Pomona, New Jersey 08240
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Richardson, Texas 75082
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Richmond Heights, Ohio 44143
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Scranton, Pennsylvania 18510
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Sioux Falls, South Dakota 57117
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Sun City, Arizona 85351
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Sun City West, Arizona 85375
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3404 West Sylvania Avenue
Toledo, Ohio 43623
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6161 South Yale Avenue
Tulsa, Oklahoma 74136
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Valley Stream, New York 11580
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Watertown, New York 13601
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1000 E Mountain Blvd
Wilkes-Barre, Pennsylvania 18711
(570) 808-7300
Geisinger Wyoming Valley Over the last decade, Geisinger Wyoming Valley has nearly doubled in size,...
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