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. 2021 Jul 17;2(4):222–230. doi: 10.1016/j.cvdhj.2021.06.001

Table 4.

Patient and provider variables with source

Type Variable Source within EHR
Primary outcomes Adherence (AC start)—yes/no by 1 of 2 criteria
  •  (1)

    Warfarin, direct oral anticoagulant, or low-molecular-weight heparin at therapeutic dosing

  •  (2)

    INR ≥1.5

Persistence—months on AC after start
Medication records with active status, including outside pharmacy records through Surescripts health information network
Laboratory records
Secondary outcomes Stroke/TIA/systemic embolism
Bleeding—major + clinically relevant
ICD codes and then verification by chart review
Independent Intervention vs control Encounter records
Covariates Patient factors
  • AF subtype—paroxysmal, persistent, chronic vs typical or atypical atrial flutter

  • AF onset duration

ICD codes
  • AC treatment history

  • Bleeding history

ICD codes
Demographics
  • Race

  • Ethnicity (Hispanic/non-Hispanic)

  • Language preference

  • Zip code–based income

  • Insurance

Demographic records
Risk score
  • CHA2DS2-VASc score

Demographic records for age, ICD codes
Comorbidities
  • Chronic kidney disease

  • Chronic liver disease

  • Low platelet count

  • Anemia

  • Hemophilia

  • Other bleeding diathesis

ICD codes + laboratory test results
Provider factors
Age Credentialing office records
  • Years since graduation from medical/nursing school

  • Physician vs mid-level provider

  • Other—timing of appointment relative to baseline (January 2019 for pre-launch or January 2020 for post-launch)

Scheduling database in EHR

AC = anticoagulation; AF = atrial fibrillation; CHA2DS2-VASc = stroke risk score consisting of congestive heart failure, hypertension, age 75+, diabetes, stroke, vascular disease, age 65 to 75, sex; EHR = electronic health record; ICD = International Classification of Disease; INR = international normalized ratio; TIA= transient ischemic attack.

Active status includes any script for which status is not discontinued.

ICD codes detailed in Appendix A.

Those not included in CHA2DS2-VASc score.