Table 3.
Provider characteristics, knowledge, and confidence in managing patients with AFa (N=13).
| Demographics | Frequency, n (%) | |
| Years in practice | ||
|
|
<10 | 3 (23) |
|
|
10-20 | 4 (31) |
|
|
>20 | 6 (46) |
| Type of provider | ||
|
|
Nurse practitioner | 2 (15) |
|
|
Physician assistant | 2 (15) |
|
|
MDb | 9 (70) |
| How confident are you in assessing antithrombotic therapy for stroke risk patients? | ||
|
|
Somewhat confident | 0 (0) |
|
|
Moderately confident | 2 (15) |
|
|
Very confident | 11 (85) |
| How confident are you in selecting appropriate anticoagulant therapy? | ||
|
|
Somewhat confident | 0 (0) |
|
|
Moderately confident | 2 (15) |
|
|
Very confident | 11 (85) |
| How confident are you in using oral - anticoagulant therapies for reducing stroke risk? | ||
|
|
Somewhat confident | 0 (0) |
|
|
Moderately confident | 3 (23) |
|
|
Very confident | 10 (77) |
| How confident or familiar are you in using CHA2DS2-VASc scoresc to assess stroke risk?d | ||
|
|
Somewhat confident | 0 (0) |
|
|
Moderately confident | 2 (17) |
|
|
Very confident | 10 (83) |
| How confident are you in applying ACC/AHA/HRSe guidelines to the management of AF?f | ||
|
|
Somewhat confident | 0 (0) |
|
|
Moderately confident | 3 (23) |
|
|
Very confident | 10 (77) |
| How confident or familiar are you in using HAS-BLEDg score to assess bleeding risk? | ||
|
|
Somewhat confident | 2 (15) |
|
|
Moderately confident | 7 (54) |
|
|
Very confident | 4 (31) |
| Correctly identified CHA2DS2-VASc score=3 for a clinical vignette of a 73-year-old male patient with hypertension and CHFh | ||
|
|
Correct | 10 (77) |
|
|
Incorrect | 3 (23) |
| Correctly identifying that aspirin would not be an appropriate antithrombotic for the above patient | ||
|
|
Correct | 13 (100) |
|
|
Incorrect | 0 (0) |
| Approximately what percentage of your adult patients have a diagnosis of AF? | ||
|
|
<25% | 7 (54) |
|
|
>25% | 6 (46) |
aAF: atrial fibrillation.
bMD: doctor of medicine.
cThe CHA2DS2‐VASc score assigns 1 point for congestive heart failure, hypertension, age 65-74 years, diabetes mellitus, vascular disease history such as myocardial infarction, and female sex and 2 points for age >75 or previous stroke or transient ischemic attack.
dFor this item, N=12, given nonresponse from 1 provider.
eACC/AHA/HRS: American College of Cardiology/American Heart Association/Heart Rhythm Society.
fRefers to the 2014 jointly issued guidelines from the American College of Cardiology, American Heart Association, and Heart Rhythm Society that provide guidance on the use of anticoagulation for patients with AF.
gHAS-BLED score is a bleeding risk score that includes predictors for hypertension, abnormal renal or liver function, stroke, bleeding history or predisposition, labile international normalized ratio, older adults, and drugs or alcohol concomitantly.
hCHF: congestive heart failure.