FLorida Puerto Rico Atrial Fibrillation Stroke Study (FLiPER-AF)

Study Overview
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Brief Summary
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In this study, FL-PR Stroke Registry will be used to determine novel data on disparities in stroke care and outcomes for patients with Atrial Fibrillation (AF) in 'real life' hospital setting. Investigators will evaluate clinical practice for AF detection and treatment in stroke patients within large stroke hospital systems of care with multi-ethnic patient populations and thereby representative of the states of Florida and Puerto Rico. The results of this study will be of critical importance for secondary stroke prevention by identifying gaps in stroke care for patients with AF and by recognizing the needs for developing targeted interventions to reduce disparities in diverse populations of stroke patients with AF and improve systems of care for all stroke patients with AF.

Official Title
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Disparities in Stroke Outcomes and Care Delivery in Patients With Atrial Fibrillation: FLorida Puerto Rico Atrial Fibrillation Stroke Study (FLiPER-AF)

Conditions
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Atrial Fibrillation

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age is 18 and older primary diagnosis of ischemic stroke enrolled in the Florida - Puerto Rico Stroke Registry Exclusion Criteria: primary diagnosis of intracerebral hemorrhage diagnosis of subarachnoid hemorrhage stroke not otherwise specified no stroke related diagnosis admission for elective carotid intervention only

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| In-Hospital Quality of Care Acute Stroke Measures | As measured by modified rankin score (mRS) at discharge (a score that measures the degree of disability or dependence in the daily activities of people who have suffered a stroke). A minimum score of 0 indicates no symptoms and therefore no disability. A maximum score of 6 indicates death has resulted | 5 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Temporal trends of atrial fibrillation for stroke outcomes | Changes in the occurrence of atrial fibrillation (AF) and its effect on related hospital discharge characteristics among stroke patients | 5 years | 
| Temporal trends in the frequency of hospital prescriptions at discharge of anticoagulants for stroke patients | Changes over the years measured through the quantification of the frequency hospitals prescribe anticoagulants (i.e., aspirin, warfarin, and novel oral anticoagulants) at discharge | 5 years | 
| Temporal trends in the frequency of hospital prescriptions for atrial fibrillation monitoring devices | Changes over the years measured through the quantification of the frequency hospitals prescribe atrial fibrillation monitoring devices (i.e., Holter monitoring and prolonged electrocardiogram monitoring). | 5 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Disparities, Florida-Puerto Rico Stroke Registry