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It retrospectively analyzed data from 70,187 AF patients treated between January 2018 and December 2023 across 20 hospitals. The average patient age was 72.3 years, with 54.4% male. The study found a significant increase in OAC use over time, particularly in cardiology, where the usage rose from 29.8% pre\u20102018 to 68.8% in 2021\u20132023. However, OAC usage in non\u2010cardiology departments remained below 50% during the same period. Tertiary hospitals had higher OAC prescription rates compared to non\u2010tertiary hospitals. Despite 77.4% of the cohort being at high risk for stroke, their OAC usage rates were not higher than the non\u2010high\u2010risk group. Factors such as advanced age, history of bleeding, hemoglobin levels, and concurrent antiplatelet therapy hindered OAC use, while upstream treatments facilitated its acceptance. The study concludes that while progress has been made in OAC prescription in China, significant gaps remain, especially in internal medicine and surgery departments, necessitating targeted interventions and better interdisciplinary collaboration for improved patient outcomes.<\/jats:p>","DOI":"10.1002\/mco2.70487","type":"journal-article","created":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T07:23:36Z","timestamp":1763364216000},"source":"Crossref","is-referenced-by-count":3,"title":["Oral Anticoagulant Therapy of Patients With Atrial Fibrillation in Cardiology, Internal Medicine, and Surgery: Temporal Trend"],"prefix":"10.1002","volume":"6","author":[{"given":"Mingjie","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Cardiology Cheeloo College of Medicine Qilu Hospital (Qingdao) Shandong University  Qingdao China"},{"name":"State Key Laboratory for Innovation and Transformation of Luobing Theory Key Laboratory of Cardiovascular Remodeling and Function 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