Table 3

Comparison of Patient Selection Methods in Prior Studies Examining Warfarin Utilization in AF Patients

Study Period
Author
Setting
Patient Selection for AF based on
Patient Population Size
Warfarin Utilization %
"Warfarin Candidates" not on Warfarin %
Method of determining Warfarin Utilization

1995–1998
Weisbord et al.13
VA
Medical Chart review
1289
65
3.5
Medical Chart reviewed by physicians for documented contraindication
1996–1997
Go et al.11
Large HMO
ICD-9-CM code
13428
55
37.9
Pharmacy database, Outpatient INR, ICD for "Coumadin Therapy"
1997–1998
McCormick et al.12
Long term Care Facility
Medical Chart reviewed for EKG diagnosis or documentation by physician
429
42
32
Warfarin prescriptions, INR, Physician Notes
2000–2002
Waldo et al.9
Teaching, community and VA hospitals
ICD-9-CM code
945
54
22
ICD-9 & Medical chart review
2000–2005
Darkow et al.7
HMO
ICD-9-CM code
12539
39
61
Unable to obtain
2001–2003
Hylek et al.8
Urban teaching hospital
Electronic medical chart review and ECG verified AF
405
51
2
Electronic medical chart review for physician cited reasons for warfain non-use
2004–2005
Our Study
Single Tertiary Care Hospital
Medical Chart review and physician confirmation of AF by EKG
364
54
7.1
Medical chart reviewed by physicians for documented contraindication

Srivastava et al. Thrombosis Journal 2008 6:6   doi:10.1186/1477-9560-6-6