Patients with non-valvular atrial fibrillation who starting oral anticoagulants therapy. Atrial fibrillation, Non-Vitamin K oral anticoagulant, Warfarin, Renal outcomes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients age 20 years or older diagnosed with non-valvular atrial fibrillation or atrial flutter, 2. Patients start on oral anticoagulants therapy for first time or up to 3 months, 3. Patients who agree to participate in this study
Exclusion criteria
Exclusion criteria: 1. Atrial fibrillation patients with moderate to severe mitral stenosis and/or mechanical valve replacement, 2. eGFR < 15 mL/min or renal replacement therapy, 3. moderate or severe hepatic disorder (equivalent to Child-Pugh classification B or C), 4. Pregnant women or breastfeeding, 5. platelet count <150,000 cell/m3, 6. Active bleeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in urine albumin to creatinine ratio (UACR) at 0, 6, 12 month during study urine albumin to creatinine ratio (UACR),Change in greater than or equal to 30% decline in estimated glomerular filtration rate (eGFR) at 0, 3, 6, 9, and 12 months during study estimated glomerular filtration rate (eGFR) | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in doubling of the serum creatinine level at 0, 3, 6, 9, and 12 months during study serum creatinine level,Survival time of eGFR decline greater than or equal to 30% from baseline at 0, 3, 6, 9, and 12 months during study survival analysis,Factors associated with change in eGFR at 0, 3, 6, 9, and 12 months during study baseline characteristic from OPD card recording | — |
Countries
Thailand
Contacts
Eastern Asia University