A Study to Quantify Use of Anticoagulation to Improve Management of Atrial Fibrillation
Stopped early
Conditions studied: Atrial Fibrillation
In brief
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.
Key facts
- Study ID
- NCT03382613
- Run by
- Janssen Scientific Affairs, LLC
- People needed
- 2000
- Starts
- 2017-12-29
- Expected to finish
- 2019-12-03
- Last updated by the study team
- 2019-12-26
Who can join
Age: 40 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- 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
You may not qualify if…
- 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
Where it is running
- Banner Desert Medical Center — Mesa, Arizona, United States
- Banner Baywood Medical Center — Mesa, Arizona, United States
- Banner Heart Hospital — Mesa, Arizona, United States
- Banner University Medical Center — Phoenix, Arizona, United States
- Banner Estrella — Phoenix, Arizona, United States
- Banner Boswell Medical Center — Sun City, Arizona, United States
- Banner Del Webb — Sun City West, Arizona, United States
- Banner University Medical Center - South (BUMC-S) — Tucson, Arizona, United States
- Banner University Medical Center - Tucson (BUMC-T) — Tucson, Arizona, United States
- Banner North Colorado Medical Center — Greeley, Colorado, United States
- Hartford Hospital — Hartford, Connecticut, United States
- The Hospital of Central Connecticut — New Britain, Connecticut, United States
- AMITA Adventist Medical Center Bolingbrook — Bolingbrook, Illinois, United States
- AMITA Alexian Brothers Medical Center — Elk Grove Village, Illinois, United States
- AMITA Adventist Medical Center Hinsdale — Hinsdale, Illinois, United States
- AMITA St. Alexius Medical Center — Hoffman Estates, Illinois, United States
- AMITA Adventist Medical Center La Grange — La Grange, Illinois, United States
- SSM Health Good Samaritan Hospital — Mount Vernon, Illinois, United States
- Ephraim McDowell Regional Medical Center — Danville, Kentucky, United States
- St. Agnes Hospital — Baltimore, Maryland, United States
- Borgess Medical Center — Kalamazoo, Michigan, United States
- Fremont Health Medical Center — Fremont, Nebraska, United States
- Penn Medicine - Princeton Health — Plainsboro, New Jersey, United States
- AtlantiCare — Pomona, New Jersey, United States
- Banner Thunderbird — Glendale, Arizona, United States
Full record on ClinicalTrials.gov
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