Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
Journal website https://www.cardiologyres.org

Short Communication

Volume 12, Number 4, August 2021, pages 265-268


Prevalence and Risk Factors for Preprocedural Medication Errors in Patients With Atrial Fibrillation and Atrial Flutter

Figures

Figure 1.
Figure 1. Failure mode of anticoagulation strategy. Types, numbers, and frequencies of medication problems among patients prescribed DOACs and VKAs. DOACs: direct-acting oral anticoagulants; VKAs: vitamin K antagonists.
Figure 2.
Figure 2. Actions taken in response to medication problems. Frequencies of management strategies were undertaken to address medication problems. TEE: transesophageal echocardiogram.

Table

Table 1. Patient Characteristics
 
CharacteristicsAll procedures (N = 1,248)Procedures with medication problems (N = 140)Procedures without medication problems (N = 1,108)P value
Unless otherwise specified, parameters are expressed as mean ± standard error. The listed P values relate to the comparison of procedures with medication problems versus procedures without medication problems. BMI: body mass index; CHA2DS2-VASc: congestive heart failure, hypertension, age, diabetes mellitus, stroke/systemic embolism, vascular disease; DCCV: direct current cardioversion; PVI: pulmonary vein isolation.
Age68 ± 1169 ± 1168 ± 110.439
Gender
  Women, N (%)412 (33)45 (32.1)367 (33.1)0.816
Race/ethnicity, N (%)0.291
  Asian18 (1.4)4 (2.9)14 (1.3)
  Black70 (5.6)9 (6.4)61 (5.5)
  Hispanic18 (1.4)0 (0)18 (1.6)
  White972 (77.9)106 (75.7)866 (78.2)
  Not reported170 (13.6)21 (15.0)149 (13.5)
Not primarily English-speaking, N (%)82 (6.6)12 (8.6)70 (6.3)0.311
Insurance type, N (%)0.457
  Commercial709 (56.8)74 (52.9)635 (57.3)
  Medicare515 (41.3)64 (45.7)451 (40.7)
  Safety Net24 (1.9)2 (1.4)22 (1.9)
CHA2DS2-VASc3.0 ± 1.93.1 ± 1.83.0 ± 1.90.575
BMI30.2 ± 6.730.2 ± 6.330.3 ± 6.80.914
Creatinine1.2 ± 0.81.4 ± 1.21.2 ± 0.80.098
Warfarin use, N (%)193 (15.5)43 (30.7)150 (13.5)< 0.0001
Median income$94,622 ± $33,962$93,884 ± $35,348$94,717 ± $33,7960.785
  Poverty rate9.7±7.5%10.4±8.2%9.6±7.4%0.200
Procedures, N (%)0.002
  DCCV756 (60.6)92 (65.1)664 (59.9)
  PVI307 (24.6)41 (29.3)266 (24)
  Atrial flutter ablation185 (14.8)7 (5)178 (16.1)