Investigation on knowledge of anticoagulant and use of anticoagulant drugs by physicians in western China
Yanmei Lu, Baopeng Tang, Luxiang Shang, Xiaolin Xue, Bing Liu, Xingbin Liu, Jie Fan, Shan Yu, Lin Cai, Qiangsun Zheng, Hua Fu, Jianhong Tao, Zheng Zhang, Shaobin Jia, Huiping Bian, Peng Ren, Zhong Wang, Shubin Jiang, Luobu Gesang
Abstract
ObjectiveTo investigate the knowledge of anticoagulant knowledge and the use of anticoagulant drugs by physicians in western China, and to provide scientific basis for the standardization of anticoagulant treatment.
MethodsWe conducted a questionnaire survey to investigate demographic chaoalteristics,work and study experience,the knowledge and use of anticoagulant drugs of physicians in ten provinces in western China (Xinjiang, Qinghai, Gansu, Shanxi, Xizang, Sichuan, Chongqing, Yunnan, Guizhou, Ningxia) from September 2017 to September 2018.
ResultsA total of 2 671 questionnaires were issued and 2 436 valid questionnaires were recovered, with a response rate of 91.2%. The overall awareness rate were 81.9% and 71.6% with regard to CHA2DS2-VASc score and HAS-BLED score, respectively, with statistically significant differences among different provinces (P<0.001) . Logistic regression analysis showed that education level, department and lecture frequency were correlated with stroke score awareness. The proportion of primary and community hospitals, secondary hospitals and tertiary hospitals using anticoagulation score as the basis for anticoagulation therapy was 26.7%, 45.0% and 59.4%, respectively. The proportion that antiplatelet therapy could replace anticoagulation therapy was 76.6%, 45.6% and 33.7%, respectively, with statistically significant differences (allP<0.05) . Logistic regression analysis showed that non-vitamin K antagonist oral anticoagulants (NOACs) awareness was correlated with academic departments and lecture frequency. Physicians in Gansu and Sichuan regions tend to use warfarin, while the higher of training and learning, the more likely they were to use NOACs use.
ConclusionThere are obvious regiond, education background and hospital level in physicians, knowledge of anticoagulant and the use of anticoagulant drugs among physicians in western China. Multiple training and learning can strengthen physicians’knowledge of anticoagulation and the use of NOACs.
Key words:
Atrial fibrillation; Anticoagulant therapy; Cross-sectional study
Contributor Information
Yanmei Lu
Department of Pacing and Electrophysiology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
Baopeng Tang
Department of Pacing and Electrophysiology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
Luxiang Shang
Department of Pacing and Electrophysiology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
Xiaolin Xue
Department of Cardiology, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China
Bing Liu
Department of Cardiology, Xijing Hospital, Air Force Medical University of PLA, Xi’an 710032, China
Xingbin Liu
Department of Cardiology, West China Hospital, Sichuan University, Chengdu 610041, China
Jie Fan
Department of Cardiology, The First Hospital of Yunnan Province, Kunming 650032, China
Shan Yu
Department of Cardiology, Guizhou Provincial People’s Hospital, Guiyang 550002, China
Lin Cai
The Third People’s Hospital of Chengdu, Chengdu 610031, China
Qiangsun Zheng
Department of Cardiology, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710004, China
Hua Fu
Department of Cardiology, West China Hospital, Sichuan University, Chengdu 610041, China
Jianhong Tao
Department of Cardiology, People’s Hospital of Sichuan Province, Chengdu 610072, China
Zheng Zhang
Department of Cardiology, the First Hospital of Lanzhou University, Lanzhou 730000, China
Shaobin Jia
Heart Center, General Hospital of Ningxia Medical University, Yinchuan 750004, China
Huiping Bian
Department of Cardiology, Qinghai Cardio-Cerebrovescular Hospital, Xining 810012, China
Peng Ren
Department ofCardiology, Xinjiang Uygur Autonomous Region People’s Hospital, Urumqi 830000, China
Zhong Wang
Department of Cardiology, the First Affiliated Hospital, School of Medicine, Shihezi University, Shihezi 832000, China
Shubin Jiang
Department of Cardiology, Xinjiang Autonomous Region Traditional Chinese Medical Hospital Affiliated to Xinjiang Medical University, Urumqi 830000, China
Luobu Gesang
Department of Cardiology, People’s Hospital of Tibet Autonomous Region, Lhasa 850000, China