[How to manage patients with atrial fibrillation in a general hospital].
OBJECTIVE
To evaluate efficacy of use of technological charts (TC) in upgrading management and treatment safety in patients with atrial fibrillation (AF).


METHODS
Two groups of AF patients were compared: 196 patients treated before introduction of TC (group 1) and 431 patients managed according to TC technology (group 2).


RESULTS
In group 2 treatment duration reduced from 26.1 to 18.5 days, rehospitalizations occurred by 6% less frequently, number of unexpected side effects fell 2.5-fold, the rate of varfarin prescription for prevention of thromboembolic complications rose from 18 to 64%, the patients were satisfied with the treatment in 97% vs past 79%.


CONCLUSIONS
TC was a tool of treatment improvement and introduction of the latest clinical recommendations into clinical practice with reference to facilities and staff qualification of an individual hospital without additional financial input.
Nazarenko
G I
GI
Labeznik
L B
LB
Zamiro
T N
TN
Kashevskaia
O P
OP
D000368:Aged; D001281:Atrial Fibrillation / Q000628:therapy*; D005260:Female; D006769:Hospitals, General; D006801:Humans; D008297:Male; D008487:Medical History Taking / Q000379:methods*; D008875:Middle Aged; D005791:Patient Care / Q000379:methods; D010359:Patient Readmission; D014859:Warfarin / Q000627:therapeutic use
D014859:Warfarin