title: Ethnicity and anticoagulation management of hospitalized patients with atrial fibrillation in northwest China.
abstract: The therapeutic management and health challenges caused by atrial fibrillation (AF) differ between different groups. The purpose of this study was to investigate the clinical features of patients hospitalized with AF and to explore the use of anticoagulation treatments in Han and Uygur patients in Xinjiang, northwest China. Data were collected from a retrospective descriptive study involving patients hospitalized at 13 hospitals in Xinjiang, China from Jul 1, 2014 to Jun 31, 2015. Anticoagulation management was measured according to guideline-recommended risk scores. A total of 4,181 patients with AF were included (mean age 69.5 ± 11.7 years, 41.4% females; 71.5% Han, 28.5% Uygur). The prevalence of AF in Uygur individuals may occur earlier than in Han individuals (mean age 64.9 vs 71.3, P < 0.001). Most of the hospitalized patients with AF had a high risk of stroke (CHA2DS2-VASc score ≥2; 80.6% Han vs 73.7% Uygur, P < 0.05); this risk was especially high in elderly patients. In AF patients, the application of anticoagulants according to the guidelines is far from expected, and the underutilization of anticoagulants exists in both ethnic groups.
authors.affiliation: Pacing and Electrophysiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, China.|Cardre health care No. 4 department, The people's hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, 830054, China.
authors.forename: Xinchun
authors.initials: X
authors.lastname: Cheng
authors.affiliation: Pacing and Electrophysiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, China.
authors.forename: Xianhui
authors.initials: X
authors.lastname: Zhou
authors.affiliation: The First Department of Cardiology, Hospital of Xinjiang Production &Construction Corps, Urumqi, Xinjiang, 830054, China.
authors.forename: Shifei
authors.initials: S
authors.lastname: Song
authors.affiliation: Pacing and Electrophysiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, China.
authors.forename: Min
authors.initials: M
authors.lastname: Wu
authors.affiliation: Pacing and Electrophysiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, China.
authors.forename: Roza
authors.initials: R
authors.lastname: Baolatejiang
authors.affiliation: Pacing and Electrophysiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, China.
authors.forename: Yanmei
authors.initials: Y
authors.lastname: Lu
authors.affiliation: Pacing and Electrophysiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, China.
authors.forename: Yaodong
authors.initials: Y
authors.lastname: Li
authors.affiliation: Pacing and Electrophysiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, China.
authors.forename: Wenhui
authors.initials: W
authors.lastname: Zhang
authors.affiliation: Pacing and Electrophysiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, China.
authors.forename: Wenkui
authors.initials: W
authors.lastname: Lv
authors.affiliation: Pacing and Electrophysiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, China.
authors.forename: Yuanzheng
authors.initials: Y
authors.lastname: Ye
authors.affiliation: Pacing and Electrophysiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, China.
authors.forename: Qina
authors.initials: Q
authors.lastname: Zhou
authors.affiliation: Pacing and Electrophysiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, China.
authors.forename: Hongli
authors.initials: H
authors.lastname: Wang
authors.affiliation: Pacing and Electrophysiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, China.
authors.forename: Jianghua
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Pacing and Electrophysiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Xing
authors.affiliation: Pacing and Electrophysiological Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, China.
authors.forename: Baopeng
authors.initials: B
authors.lastname: Tang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000008:administration & dosage* / Q000009:adverse effects; D001281:Atrial Fibrillation / Q000188:drug therapy* / Q000235:genetics / Q000503:physiopathology; D001777:Blood Coagulation / Q000235:genetics*; D002681:China; D005006:Ethnicity / Q000235:genetics; D005260:Female; D006801:Humans; D008297:Male; D018570:Risk Assessment; D012307:Risk Factors; D015912:Thrombolytic Therapy / Q000009:adverse effects*
chemical_list: D000925:Anticoagulants