NVAF patients were consecutively enrolled from 24 hospitals located all across Thailand. Thirteen of those centers are university hospitals, and ten are regional or general hospitals. The protocol for this study was approved by the institutional review boards (IRBs) of the Thailand Ministry of Public Health and IRB of each participating hospital namely Buddhachinaraj Hospital, Central Chest Institute of Thailand, Charoen Krung Pracha Rak Hospital, Chiangrai Prachanukroh Hospital, Chonburi Hospital, Chiang Mai Hospital, King Chulalongkorn Memorial Hospital, Naresuan University Hospital, Songklanakarind Hospital, Ramathibodi Hospital, Siriraj Hospital, Thammasat Hospital, Golden Jubilee Medical Center, Srinakarind Hospital, Lampang Hospital, Maharat Nakorn Ratchasima Hospital, Nakornping Hospital, Phramongkutklao Hospital, Police General Hospital, Prapokklao Hospital (Chanthaburi), Ratchaburi Hospital, Surat Thani Hospital, Surin Hospital, and Udonthani Hospital. All patients provided written informed consent prior to participation in this study. Patients aged ≥18 years with atrial fibrillation diagnosed by standard ECG or ambulatory monitoring were eligible for inclusion. Patients having one or more of the following were excluded: 1) ischemic stroke within 3 months; 2) thrombocytopenia (< 100,000/mm3), myeloproliferative disorders, hyperviscosity syndrome, or antiphospholipid syndrome; 3) prosthetic valve or valve repair; 4) rheumatic valve disease or significant valve disease; 5) atrial fibrillation from transient reversible cause (e.g., during respiratory tract infection or bronchospasm); 6) ongoing participation in a clinical trial; 7) life expectancy less than 3 years; 8) pregnancy; 9) inability to attend scheduled follow-up appointments; 10) refusal to join the study; and/or, 11) current hospitalization or hospitalization within 1 month prior to inclusion in the study.
Baseline demographic and clinical data were collected and recorded. Patients were followed-up at 6, 12, 18, 24, 30, and 36 months. Data relating to cardiovascular events, blood pressure, heart rate, and medications were collected at each follow-up visit. Data from each patient was written on a case record form and keyed into a web-based data collection and management system. The following data were collected: 1) demographic information; 2) history of stroke and bleeding; 3) type and duration of atrial fibrillation; 4) component parameters of CHADS2 score, CHA2DS2VASc score for stroke risk, and HAS-BLED score for risk of bleeding; 5) history of medical and cardiovascular disease; 6) antithrombotic medication; 7) reason for not using warfarin in those not taking warfarin; 8) concomitant medications; 9) twelve-lead ECG; and, 10) current INR. Protocols were established and followed by the data management team and statisticians to ensure the integrity and quality of the data before final analysis. Random site monitoring was also regularly performed. Approximately 70% of sites were audited. Data were collected during the 2014 to 2017 study period.
Baseline demographic and clinical data were collected and recorded. Patients were followed-up at 6, 12, 18, 24, 30, and 36 months. Data relating to cardiovascular events, blood pressure, heart rate, and medications were collected at each follow-up visit. Data from each patient was written on a case record form and keyed into a web-based data collection and management system. The following data were collected: 1) demographic information; 2) history of stroke and bleeding; 3) type and duration of atrial fibrillation; 4) component parameters of CHADS2 score, CHA2DS2VASc score for stroke risk, and HAS-BLED score for risk of bleeding; 5) history of medical and cardiovascular disease; 6) antithrombotic medication; 7) reason for not using warfarin in those not taking warfarin; 8) concomitant medications; 9) twelve-lead ECG; and, 10) current INR. Protocols were established and followed by the data management team and statisticians to ensure the integrity and quality of the data before final analysis. Random site monitoring was also regularly performed. Approximately 70% of sites were audited. Data were collected during the 2014 to 2017 study period.
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