Registry tool for stroke prevention in atrial fibrillation in Norway – RegTool AFNOR
Project
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The overall aim of the project is to identify targets and tools for better stroke prevention in atrial fibrillation patients.
Summary
Atrial fibrillation is an important risk factor for stroke. Anticoagulant treatment reduces the risk substantially but may also lead to haemorrhagic complications. The recommended approach is to balance the risk of stroke against the risk of bleeding when making decisions on anticoagulant treatment or not. It remains challenging for medical doctors to keep track of how stroke risk changes over time in atrial fibrillation patients.
The overall aim of the project is to identify targets and tools for better stroke prevention in atrial fibrillation patients. Based on anonymously compiled health information from national registries, we will assess individual risk of stroke in patients with atrial fibrillation dynamically over time, as risk changes with increasing age and comorbidity. We will assess whether certain characteristics of patient pathways may lead to hospital admission for stroke in atrial fibrillation patients. Further, we will investigate whether there are differences in the use of health services for different groups of patients with atrial fibrillation, in order to identify groups that may need more targeted preventive measures. Finally, we will investigate whether a registry-based tool for stroke risk has the potential to guide and improve clinical decisions for stroke prevention in patients with atrial fibrillation.
The project is a collaboration between researchers in epidemiology, statistics and health economics and collaborators that will make use of the gained knowledge, from patient organizations to general practitioners. A long-term goal of the project is to contribute to innovative registry-based tools that can be used as decision support by general practitioners within the framework of existing electronic patient records. We also aim to explore whether patients themselves can benefit from access to such information.
Project leader
Inger Kristine Holtermann Ariansen, Department of Chronic Diseases, Norwegian Institute of Public Health
Project participants
Torbjørn Wisløff, Helsetjenesteforskning (HØKH), Akershus University Hospital Trust
Jon Marius Grasto Wickmann, Health Studies, Norwegian Institute of Public Health
Laust H. Mortensen, University of Copenhagen
Øyvind Erik Næss, Avd. for samfunnsmedisin og global helse, University of Oslo
Trygve Berge, Bærum sykehus, Vestre Viken Hospital Trust
Eva Skovlund, Department of Public Health and Nursing, Norwegian University of Science and Technology
Øystein Karlstad, Department of Chronic Diseases, Norwegian Institute of Public Health
Grace Margrethe Egeland, Department of Global Public Health and Primary Care, University of Bergen
Jannicke Igland, Department of Global Public Health and Primary Care, University of Bergen
Grethe Seppola Tell, Department of Global Public Health and Primary Care, University of Bergen
Vidar Hjellvik, Department of Chronic Diseases, Norwegian Institute of Public Health
Lars Jøran Kjerpeseth, Department of Chronic Diseases, Norwegian Institute of Public Health
Emilie R. Hegelund, University of Copenhagen
Mariam Anjum, Bærum sykehus, Vestre Viken Hospital Trust
Ingrid E. Christophersen, Bærum sykehus, Vestre Viken Hospital Trust
Marius Myrstad, Bærum sykehus, Vestre Viken Hospital Trust
Arnljot Tveit, Bærum sykehus, Vestre Viken Hospital Trust
Start
01.03.2020
End
31.12.2030
Status
Active
Project owner/ Project manager
Norwegian Institute of Public Health