Knowledge, Attitude, and Practice Regarding Atrial Fibrillation Among Neurologists in Central China: A Cross-sectional Study

Overview

Journal Clin Cardiol

Specialty Cardiology & Vascular Diseases

Date 2020 Mar 26

PMID 32208538

Citations 7

Authors

Jing Shen

Yuanpeng Xia

Shiyi Cao

Zuxun Lu

Quanwei He

Man Li

Hong Wang

Ying Bi

Shaoli Chen

Bo Hu

Fei Cao

Affiliations

Soon will be listed here.

Abstract

Background: Physicians' knowledge and practice of atrial fibrillation (AF) are determinants of the efficacy of thromboprophylaxis.

Hypothesis: This study aimed to investigate physicians' knowledge, attitude, and practice toward AF, to analyze the influencing factors, and to provide data to support departments that develop health policies.

Methods: A cross-sectional study was carried out from October 1, 2016, to March 31, 2018. A standard-structured anonymous questionnaire was completed by each participant through face-to-face interviews.

Results: A total of 611 doctors from 38 hospitals were responded to this survey. The mean of the total score of the questionnaire was 21.59 ± 3.559 (total score of the questionnaire was 36), and the mean scores of knowledge, attitude, and practice were 6.86 ± 1.70, 6.13 ± 1.35, and 8.59 ± 2.21, respectively. The doctor' s knowledge, practice scores, and total scores were positively correlated with the education level and the workplace. The influencing factors that affect doctors' knowledge, attitudes, and practice scores including education level, professional title, working years, hospital grade, and hospital location.

Conclusions: There was still a big gap in neurologists' knowledge and practice about AF. It is necessary to strengthen the continuous improvement of doctor training to improve the management of AF.

Citing Articles

Knowledge, attitude, and practice regarding stone formation and recurrence among urolithiasis patients: a cross-sectional study.

Chen T, Jiang Y, Zhang P, Wang F, Chen B, Yu D Sci Rep. 2024; 14(1):28408.

PMID: 39557990 PMC: 11574188. DOI: 10.1038/s41598-024-80078-x.

Knowledge, attitude, and practice toward nonsteroidal anti-inflammatory drugs among osteoarthritis patients: a cross-sectional study.

Gong D, Wu X, Wu M, Wang F Sci Rep. 2024; 14(1):24953.

PMID: 39438736 PMC: 11496538. DOI: 10.1038/s41598-024-76171-w.

Knowledge, attitude, and practice of atrial fibrillation in high altitude areas.

Li K, Liu J, Zhu Y Front Public Health. 2024; 12:1322366.

PMID: 38660349 PMC: 11039834. DOI: 10.3389/fpubh.2024.1322366.

Knowledge, attitude and practice toward oral anticoagulants among patients with atrial fibrillation.

Li C, Meng Y, Meng X, Song Y Front Cardiovasc Med. 2024; 10:1301442.

PMID: 38162125 PMC: 10755671. DOI: 10.3389/fcvm.2023.1301442.

An instrument to measure atrial fibrillation knowledge in Chinese patients: validation of the Jessa Atrial fibrillation Knowledge Questionnaire.

Chang S, Xu W, Wu S, Desteghe L, Zhang F, Zhang J Front Pharmacol. 2023; 14:1148524.

PMID: 37416065 PMC: 10321709. DOI: 10.3389/fphar.2023.1148524.

References

Banerjee A, Taillandier S, Olesen J, Lane D, Lallemand B, Lip G . Pattern of atrial fibrillation and risk of outcomes: the Loire Valley Atrial Fibrillation Project. Int J Cardiol. 2012; 167(6):2682-7. DOI: 10.1016/j.ijcard.2012.06.118. View

Kamel H, Healey J . Cardioembolic Stroke. Circ Res. 2017; 120(3):514-526. PMC: 5312810. DOI: 10.1161/CIRCRESAHA.116.308407. View

Guo Y, Tian Y, Wang H, Si Q, Wang Y, Lip G . Prevalence, incidence, and lifetime risk of atrial fibrillation in China: new insights into the global burden of atrial fibrillation. Chest. 2014; 147(1):109-119. DOI: 10.1378/chest.14-0321. View

Liu L, Wang D, Wong K, Wang Y . Stroke and stroke care in China: huge burden, significant workload, and a national priority. Stroke. 2011; 42(12):3651-4. DOI: 10.1161/STROKEAHA.111.635755. View

Fuster V, Ryden L, Cannom D, Crijns H, Curtis A, Ellenbogen K . ACC/AHA/ESC 2006 Guidelines for the Management of Patients with Atrial Fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for.... Circulation. 2006; 114(7):e257-354. DOI: 10.1161/CIRCULATIONAHA.106.177292. View

Cabana M, Rand C, Powe N, Wu A, Wilson M, Abboud P . Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA. 1999; 282(15):1458-65. DOI: 10.1001/jama.282.15.1458. View

Heidbuchel H, Dagres N, Antz M, Kuck K, Lazure P, Murray S . Major knowledge gaps and system barriers to guideline implementation among European physicians treating patients with atrial fibrillation: a European Society of Cardiology international educational needs assessment. Europace. 2018; 20(12):1919-1928. DOI: 10.1093/europace/euy039. View

Gao S, Wang Y, Xu A, Li Y, Wang D . Chinese ischemic stroke subclassification. Front Neurol. 2011; 2:6. PMC: 3052771. DOI: 10.3389/fneur.2011.00006. View

Zhu W, He W, Guo L, Wang X, Hong K . The HAS-BLED Score for Predicting Major Bleeding Risk in Anticoagulated Patients With Atrial Fibrillation: A Systematic Review and Meta-analysis. Clin Cardiol. 2015; 38(9):555-61. PMC: 6490831. DOI: 10.1002/clc.22435. View

10.

Camm A, Pinto F, Hankey G, Andreotti F, Hobbs F . Non-vitamin K antagonist oral anticoagulants and atrial fibrillation guidelines in practice: barriers to and strategies for optimal implementation. Europace. 2015; 17(7):1007-17. PMC: 4482288. DOI: 10.1093/europace/euv068. View

11.

Amara W, Larsen T, Sciaraffia E, Hernandez Madrid A, Chen J, Estner H . Patients' attitude and knowledge about oral anticoagulation therapy: results of a self-assessment survey in patients with atrial fibrillation conducted by the European Heart Rhythm Association. Europace. 2015; 18(1):151-5. DOI: 10.1093/europace/euv317. View

12.

Lip G, Nieuwlaat R, Pisters R, Lane D, Crijns H . Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the euro heart survey on atrial fibrillation. Chest. 2009; 137(2):263-72. DOI: 10.1378/chest.09-1584. View

13.

Camm A, Kirchhof P, Lip G, Schotten U, Savelieva I, Ernst S . Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC). Eur Heart J. 2010; 31(19):2369-429. DOI: 10.1093/eurheartj/ehq278. View

14.

Shen J, Xia Y, Cao S, Lu Z, He Q, Li M . Knowledge, attitude, and practice regarding atrial fibrillation among neurologists in central China: A cross-sectional study. Clin Cardiol. 2020; 43(6):639-646. PMC: 7298974. DOI: 10.1002/clc.23361. View

15.

Wolf P, DAWBER T, THOMAS Jr H, Kannel W . Epidemiologic assessment of chronic atrial fibrillation and risk of stroke: the Framingham study. Neurology. 1978; 28(10):973-7. DOI: 10.1212/wnl.28.10.973. View

16.

Koga M, Yoshimura S, Hasegawa Y, Shibuya S, Ito Y, Matsuoka H . Higher Risk of Ischemic Events in Secondary Prevention for Patients With Persistent Than Those With Paroxysmal Atrial Fibrillation. Stroke. 2016; 47(10):2582-8. DOI: 10.1161/STROKEAHA.116.013746. View