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September 2009 Br J Cardiol 2009;16:237–40

Why are we so bad in primary care at initiating warfarin in atrial fibrillation patients?

John Havard

Abstract

Introduction Table 1. The CHADS2 scoring table If GPs can be adequately advised and supported in prescribing warfarin to appropriate atrial fibrillation (AF) patients, then we have the potential to save at least 12,500 strokes per year according to the Department of Health. The National Institute for Health and Clinical Excellence (NICE) estimated that 355,000 patients were at high risk of stroke in AF in the UK and that 166,000 of them were not on warfarin (47%). An audit undertaken in Leeds used Read coding queries to apply a CHADS2 score (table 1) to AF patients in participating practices and to identify what thromboprophylaxis was used. T

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