Recommendation ID
CG180/5
Question
Stroke risk assessment:- Can routine data from UK primary care databases clarify stroke risk in people with atrial fibrillation according to baseline risk factors and treatment?
Any explanatory notes
(if applicable)
Why this is important:- There are several scores available to predict stroke risk in people with atrial fibrillation. Most have been derived from secondary care populations and validated in non-UK populations. The availability of routine primary care databases such as CPRD (The Clinical Practice Research Datalink) and THIN (The Health Improvement Network) provides the opportunity to assess these risk tools, and the impact of treatment on risk, in a non-selected UK population. A prospective cohort study should be carried out to establish baseline risk in people with atrial fibrillation, using established risk scores, and to prospectively evaluate the outcomes of stroke and mortality, taking into account treatment and changes in risk over time. The results would help determine the most effective means of providing stroke prevention in a non-selected general practice population and establish the discriminatory value of existing stroke risk scores. [new 2014]

Source guidance details

Comes from guidance
Atrial fibrillation: management
Number
CG180
Date issued
June 2014

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No  
Last Reviewed 13/10/2014