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Burden of atrial fibrillation in Māori and Pacific people in New Zealand: a cohort study
- Source :
- Internal Medicine Journal. 48:301-309
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- BACKGROUND Atrial fibrillation (AF) is a major risk factor for ischaemic stroke and cardiovascular events. In New Zealand (NZ), Māori (indigenous New Zealanders) and Pacific people experience higher rates of AF compared with non-Māori/non-Pacific people. AIM To describe a primary care population with AF in NZ. Stroke risk and medication adherence according to ethnicity are also detailed. METHODS Electronic medical records for adults (≥20 years, n = 135 840, including 19 918 Māori and 43 634 Pacific people) enrolled at 37 NZ general practices were analysed for AF diagnosis and associated medication prescription information. RESULTS The overall prevalence of non-valvular AF (NVAF) in this population was 1.3% (1769), and increased with age (4.4% in people ≥55 years). Māori aged ≥55 years were more likely to be diagnosed with NVAF (7.3%) than Pacific (4.0%) and non-Māori/non-Pacific people (4.1%, P < 0.001). Māori and Pacific NVAF patients were diagnosed with AF 10 years earlier than non-Māori/non-Pacific patients (median age of diagnosis: Māori = 60 years, Pacific = 61 years, non-Māori/non-Pacific = 71 years, P < 0.001). Overall, 67% of NVAF patients were at high risk for stroke (CHA2 DS2 -VASc ≥ 2) at the time of AF diagnosis. Almost half (48%) of Māori and Pacific NVAF patients aged
- Subjects :
- Pediatrics
medicine.medical_specialty
education.field_of_study
business.industry
Medical record
Population
Atrial fibrillation
030204 cardiovascular system & hematology
medicine.disease
Medication prescription
03 medical and health sciences
0302 clinical medicine
Internal Medicine
medicine
030212 general & internal medicine
Young adult
Risk factor
education
business
Stroke
Cohort study
Subjects
Details
- ISSN :
- 14440903
- Volume :
- 48
- Database :
- OpenAIRE
- Journal :
- Internal Medicine Journal
- Accession number :
- edsair.doi...........de767bf72770041cce222709269d3919