The prevalence of atrial fibrillation in Greenland: a register-based cross-sectional study based on disease classifications and prescriptions of oral anticoagulants
Previous studies of the prevalence of atrial fibrillation (AF) in Greenland are based on either single-point electrocardiograms (ECGs) or patients admitted with stroke. This study estimates the prevalence of AF based on disease classifications in the electronic medical record system (EMR) and prescr...
Published in: | International Journal of Circumpolar Health |
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2022
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ftdoajarticles:oai:doaj.org/article:31e28729f6f04aa4b8d63faf1741c03b 2023-05-15T14:58:36+02:00 The prevalence of atrial fibrillation in Greenland: a register-based cross-sectional study based on disease classifications and prescriptions of oral anticoagulants N Albertsen S Riahi ML Pedersen N Skovgaard S Andersen 2022-12-01T00:00:00Z https://doi.org/10.1080/22423982.2022.2030522 https://doaj.org/article/31e28729f6f04aa4b8d63faf1741c03b EN eng Taylor & Francis Group http://dx.doi.org/10.1080/22423982.2022.2030522 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2022.2030522 https://doaj.org/article/31e28729f6f04aa4b8d63faf1741c03b International Journal of Circumpolar Health, Vol 81, Iss 1 (2022) greenland arctic inuit atrial fibrillation atrial flutter stroke Arctic medicine. Tropical medicine RC955-962 article 2022 ftdoajarticles https://doi.org/10.1080/22423982.2022.2030522 2022-12-31T01:05:13Z Previous studies of the prevalence of atrial fibrillation (AF) in Greenland are based on either single-point electrocardiograms (ECGs) or patients admitted with stroke. This study estimates the prevalence of AF based on disease classifications in the electronic medical record system (EMR) and prescriptions of oral anticoagulants (OACs). Patients given a diagnose classification code for AF or atrial flutter or prescribed the vitamin K antagonist Warfarin or the direct-acting oral anticoagulant Rivaroxaban were identified in the EMR. Descriptive data and selected laboratory values were extracted, and a minimum CHA2DS2-VASc score was calculated for the 790 patients identified in the EMR (66% men). A total prevalence of AF of 1.4% was found in the general population (1.8% among men and 1.0% among women), with a significantly lower prevalence among women younger than 70 years. There was a significant increase in AF-prevalence with advancing age (p<0.001) for both men and women. A minimum CHA2DS2-VASc was estimated and app. 10% of the patients may be undertreated with OACs. The prevalence of AF found in this study is higher than that found in previous studies in Greenland and comparable to the prevalence found in other Western countries, indicating that AF is common in Greenland. Article in Journal/Newspaper Arctic Circumpolar Health Greenland International Journal of Circumpolar Health inuit Directory of Open Access Journals: DOAJ Articles Arctic Greenland International Journal of Circumpolar Health 81 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
greenland arctic inuit atrial fibrillation atrial flutter stroke Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
greenland arctic inuit atrial fibrillation atrial flutter stroke Arctic medicine. Tropical medicine RC955-962 N Albertsen S Riahi ML Pedersen N Skovgaard S Andersen The prevalence of atrial fibrillation in Greenland: a register-based cross-sectional study based on disease classifications and prescriptions of oral anticoagulants |
topic_facet |
greenland arctic inuit atrial fibrillation atrial flutter stroke Arctic medicine. Tropical medicine RC955-962 |
description |
Previous studies of the prevalence of atrial fibrillation (AF) in Greenland are based on either single-point electrocardiograms (ECGs) or patients admitted with stroke. This study estimates the prevalence of AF based on disease classifications in the electronic medical record system (EMR) and prescriptions of oral anticoagulants (OACs). Patients given a diagnose classification code for AF or atrial flutter or prescribed the vitamin K antagonist Warfarin or the direct-acting oral anticoagulant Rivaroxaban were identified in the EMR. Descriptive data and selected laboratory values were extracted, and a minimum CHA2DS2-VASc score was calculated for the 790 patients identified in the EMR (66% men). A total prevalence of AF of 1.4% was found in the general population (1.8% among men and 1.0% among women), with a significantly lower prevalence among women younger than 70 years. There was a significant increase in AF-prevalence with advancing age (p<0.001) for both men and women. A minimum CHA2DS2-VASc was estimated and app. 10% of the patients may be undertreated with OACs. The prevalence of AF found in this study is higher than that found in previous studies in Greenland and comparable to the prevalence found in other Western countries, indicating that AF is common in Greenland. |
format |
Article in Journal/Newspaper |
author |
N Albertsen S Riahi ML Pedersen N Skovgaard S Andersen |
author_facet |
N Albertsen S Riahi ML Pedersen N Skovgaard S Andersen |
author_sort |
N Albertsen |
title |
The prevalence of atrial fibrillation in Greenland: a register-based cross-sectional study based on disease classifications and prescriptions of oral anticoagulants |
title_short |
The prevalence of atrial fibrillation in Greenland: a register-based cross-sectional study based on disease classifications and prescriptions of oral anticoagulants |
title_full |
The prevalence of atrial fibrillation in Greenland: a register-based cross-sectional study based on disease classifications and prescriptions of oral anticoagulants |
title_fullStr |
The prevalence of atrial fibrillation in Greenland: a register-based cross-sectional study based on disease classifications and prescriptions of oral anticoagulants |
title_full_unstemmed |
The prevalence of atrial fibrillation in Greenland: a register-based cross-sectional study based on disease classifications and prescriptions of oral anticoagulants |
title_sort |
prevalence of atrial fibrillation in greenland: a register-based cross-sectional study based on disease classifications and prescriptions of oral anticoagulants |
publisher |
Taylor & Francis Group |
publishDate |
2022 |
url |
https://doi.org/10.1080/22423982.2022.2030522 https://doaj.org/article/31e28729f6f04aa4b8d63faf1741c03b |
geographic |
Arctic Greenland |
geographic_facet |
Arctic Greenland |
genre |
Arctic Circumpolar Health Greenland International Journal of Circumpolar Health inuit |
genre_facet |
Arctic Circumpolar Health Greenland International Journal of Circumpolar Health inuit |
op_source |
International Journal of Circumpolar Health, Vol 81, Iss 1 (2022) |
op_relation |
http://dx.doi.org/10.1080/22423982.2022.2030522 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2022.2030522 https://doaj.org/article/31e28729f6f04aa4b8d63faf1741c03b |
op_doi |
https://doi.org/10.1080/22423982.2022.2030522 |
container_title |
International Journal of Circumpolar Health |
container_volume |
81 |
container_issue |
1 |
_version_ |
1766330734463680512 |