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dc.contributor.authorKrüger, Kjelleng
dc.contributor.authorSandli, Marieeng
dc.contributor.authorGeitung, Jonn Terjeeng
dc.contributor.authorEide, Geir Egileng
dc.contributor.authorGrimsmo, Anderseng
dc.date.accessioned2013-08-23T12:49:46Z
dc.date.available2013-08-23T12:49:46Z
dc.date.issued2012-11-01eng
dc.identifier.citationJournal of Nursing Education and Practice 2(4): 22-32eng
dc.identifier.issn1925-4040eng
dc.identifier.issn1925-4059eng
dc.identifier.urihttp://hdl.handle.net/1956/6988
dc.description.abstract<p>Objectives: Previous research suggests that blood-thinning treatment for patients with atrial fibrillation as well as treatment for patients with heart failure is not adequate among the elderly. We tested this among long-term patients in nursing homes.</p> <p>Methods: Information about the patients (n = 513) was collected during the period March-April 2008. Data collection consisted of electrocardiography, particulars of any stroke suffered and copying medication records. A standardized set of blood samples was analyzed.</p> <p>Results: Of the 91 atrial fibrillation patients, 14.3% were anticoagulated with warfarin. 42.0% of the patients with atrial fibrillation had no form of antithrombotic treatment. Prevalence of atrial fibrillation was 18.8% and high B-type natriuretic peptide (ProBNP &gt; 225 pmol/L) 13.2%. Of the patients with both stroke and atrial fibrillation, 24.3% were given warfarin. Of the 59 patients with ProBNP &gt; 225 pmol/L and adequate renal function (eGFR &gt; 50 ml/min), 22.0% were given ACE/A2B.</p> <p>Conclusions: The warfarin treatment rate was lower than recommended for patients with atrial fibrillation in nursing homes, as was probably the use of ACE-inhibitors to heart -failure patients. We found significant differences between the nursing homes with regard to treatment rate. Atrial fibrillation and heart failure case finding and monitoring in nursing homes needs to be improved and simple tools like recording and reporting irregular pulse by doctors and nurses and measure ProBNP on a regular basis may improve this.</p>eng
dc.language.isoengeng
dc.publisherSciedu Presseng
dc.relation.ispartof<a href="http://hdl.handle.net/1956/6992" target="blank">Can a structured electronic medical record with decision-making support improve nursing home quality?</a>eng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/eng
dc.subjectNursing homeseng
dc.subjectAtrial fibrillationeng
dc.subjectHeart failureeng
dc.subjectDrugseng
dc.subjectLong-term careeng
dc.subjectChronic diseaseeng
dc.titleAtrial fibrillation and heart failure in seven nursing homeseng
dc.typeJournal articleeng
dc.typePeer reviewedeng
dc.type.versionpublishedVersioneng
bora.peerreviewedPeer reviewedeng
bora.journalTitleJournal of Nursing Education and Practiceeng
bibo.volume2eng
bibo.issue4eng
bibo.pageStart22eng
bibo.pageEnd32eng
bibo.doihttp://dx.doi.org/10.5430/jnep.v2n4p22eng
dc.identifier.cristinID1006874eng
dc.identifier.doi10.5430/jnep.v2n4p22
dcterms.isPartOfhttp://hdl.handle.net/1956/6992


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Except where otherwise noted, this item's license is described as Attribution CC BY