{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T07:18:14Z","timestamp":1773818294261,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,1,17]],"date-time":"2015-01-17T00:00:00Z","timestamp":1421452800000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To describe the characteristics of nursing home residents diagnosed with atrial fibrillation (\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      ) and eligible for oral anticoagulants who did not receive these drugs and to detail the conditions that physicians who decide not to prescribe anticoagulants take into account.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Nursing home.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>\n                      Nursing home residents with a history of\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      (N\u00a0=\u00a01,085).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      Data were collected on clinical characteristics, geriatric syndromes, and antithrombotic regimen. Multivariate logistic regression was used to identify factors associated with nonprescription of anticoagulants. A standardized questionnaire was submitted to physicians in charge of patients with\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      , to detail conditions associated with their medical decision not to prescribe anticoagulants.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      History of\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      was present in 1,085 nursing home residents (10.1%), mean age 87, with a mean\n                      <jats:styled-content style=\"fixed-case\">CHA<\/jats:styled-content>\n                      2\n                      <jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content>\n                      2\u2010\n                      <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>\n                      c score of 5.1\u00a0\u00b1\u00a01.4. Of these residents with\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      , 544 (50.1%) did not receive anticoagulants. Recurrent falls (odds ratio (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      )\u00a0=\u00a04.9, 95% confidence interval (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      )\u00a0=\u00a02.4\u20139.9,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001), past history of bleeding (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a03.62, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a01.54\u20138.51,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.003), paroxysmal\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a03.5, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a01.83\u20136.66,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001), and advanced age (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a01.1, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a01.01\u20131.17,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.02) were significantly associated with not prescribing anticoagulants. Recurrent falls (47%), cognitive impairment (22.6%), and advanced age (16.4%) were the main reasons for not prescribing anticoagulants.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      The prevalence of\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      in a cohort of very old nursing home residents was 10%. Anticoagulation was prescribed in fewer than 50% of eligible cases despite high individual risk of stroke. Geriatric syndromes, especially falls and cognitive disorders, were the main reported contraindications for prescribing anticoagulants. Physicians caring for those residents wrongly thought that paroxysmal\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      caused fewer thromboembolic events than permanent\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      , which explains lower rates of anticoagulant prescription in individuals with paroxysmal\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.13200","type":"journal-article","created":{"date-parts":[[2015,1,17]],"date-time":"2015-01-17T04:55:51Z","timestamp":1421470551000},"page":"71-76","source":"Crossref","is-referenced-by-count":76,"title":["Underuse of Oral Anticoagulation for Individuals with Atrial Fibrillation in a Nursing Home Setting in France: Comparisons of Resident Characteristics and Physician Attitude"],"prefix":"10.1111","volume":"63","author":[{"given":"Oarda","family":"Bahri","sequence":"first","affiliation":[{"name":"Department of Geriatrics Rouen University Hospital Rouen France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederic","family":"Roca","sequence":"additional","affiliation":[{"name":"Department of Geriatrics Rouen University Hospital Rouen France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarik","family":"Lechani","sequence":"additional","affiliation":[{"name":"Gerontology Clinic Les Bateliers Geriatric Hospital Lille University Hospital Lille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurent","family":"Druesne","sequence":"additional","affiliation":[{"name":"Department of Geriatrics Rouen University Hospital Rouen France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Jouanny","sequence":"additional","affiliation":[{"name":"Department of Geriatrics Amiens University Hospital Amiens France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean\u2010Marie","family":"Serot","sequence":"additional","affiliation":[{"name":"Department of Geriatrics Amiens University Hospital Amiens France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Boulanger","sequence":"additional","affiliation":[{"name":"Gerontology Clinic Les Bateliers Geriatric Hospital Lille University Hospital Lille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francois","family":"Puisieux","sequence":"additional","affiliation":[{"name":"Gerontology Clinic Les Bateliers Geriatric Hospital Lille University Hospital Lille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Chassagne","sequence":"additional","affiliation":[{"name":"Department of Geriatrics Rouen University Hospital Rouen France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,1,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.18.2370"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.659"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1994.00420130036007"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.22.8.983"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-158-5-201303050-00007"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/circ.114.4.257"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa022913"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40266-013-0067-y"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.03.022"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.22.2864"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2009.11.025"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2004.11.003"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.03224.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.09.024"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.595140"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.2147\/VHRM.S34280"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.161.20.2458"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.007864"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2005.02.022"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.05.028"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(99)00489-1"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-121-6-199409150-00009"},{"key":"e_1_2_7_25_1","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1001\/jama.1997.03550070087045","article-title":"Preventing falls in the nursing home","volume":"278","author":"Rubenstein LZ","year":"1997","journal-title":"JAMA"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2006.07.034"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-5-200909010-00003"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.159.7.677"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs253"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000170642.39876.f2"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-9560-3-1"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2004.11.015"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.165.13.1527"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgs.13200","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgs.13200","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.13200","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T17:10:58Z","timestamp":1762189858000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.13200"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2015,1]]}},"alternative-id":["10.1111\/jgs.13200"],"URL":"https:\/\/doi.org\/10.1111\/jgs.13200","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1]]}}}