BACKGROUND: Despite clear evidence for the effectiveness of @entity1697 ( @entity1697 ) in @entity1 with @entity955 ( @entity955 ), there is evidence for the underutilisation of this therapy in the secondary @entity64 prevention. We therefore investigate the link between the use of @entity1697 in @entity64 @entity1 with @entity955 and favourable clinical outcome following the acute event. METHODS: The study population was determined by identifying the overlap of two different databases: a @entity64 registry and claims data of a health insurance company. Baseline data originated from the registry; documented @entity303 and the prescriptions for @entity1697 were derived from the insurance database. @entity1 with @entity955 , minor @entity73 , and evidence of more than 30  days without further hospitalisation within the subsequent 90  days after the acute event were selected for the analysis. RESULTS: 1828 @entity1 were selected (mean age 77.6  years), 1064 @entity1 (58.2%) were female. 827 @entity1 (45%) received a prescription for @entity1697 . The following factors were independently associated with no prescription for oral anticoagulants: increased age (OR: 0.54, CI: 0.46-0.63; P   <   0.0001), female sex (OR: 0.77, CI: 0.63-0.94; P   <   0.011), @entity717 status at discharge (OR: 0.88, CI: 0.81-0.96; P   <   0.006), and documented @entity303 (OR: 0.54, CI: 0.39-0.73; P   <   0.001). Conversely, treatment in a neurological department was associated with prescription for @entity1697 (OR: 1.47, CI: 1.19-1.81; P   <   0.003). CONCLUSIONS: In more than half of the @entity1 with @entity955 who suffered a @entity64 @entity1697 was not prescribed. The factors associated with reluctance in prescribing anticoagulants are increasing age, female sex, treatment at a non-neurological department, @entity717 , and @entity303 .

XXXX prevention in @entity955 : a challenge in the clinical practice.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity1697 :: ('MESH:D009062', 'Disease') :: ['oral anticoagulation', 'OA'] @entity303 :: ('MESH:D003704', 'Disease') :: ['dementia'] @entity73 :: ('MESH:D003072', 'Disease') :: ['physical impairment'] @entity955 :: ('MESH:D001281', 'Disease') :: ['atrial fibrillation', 'AF'] @entity717 :: ('MESH:D009069', 'Disease') :: ['worsening disability']
@entity64 :: (MESH:D020521,Disease) :: ['Secondary stroke']
