QOF

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Atrial Fibrillation

Includes (This is the earliest new diagnosis code)

G573. Atrial fibrillation and flutter
G5730 Atrial fibrillation
G5731 Atrial flutter (v10)
G5732 Paroxysmal atrial fibrillation
G5733 Non-rheumatic atrial fibrillation
G5734 Permanent atrial fibrillation
G5735 Persistent atrial fibrillation
G573z Atrial fibrillation and flutter NOS

Without Atrial Fibrillation resolved (After diagnosis)

212R. Atrial fibrillation resolved

Exclusion codes (Every 15 months)

9hF1. Excepted from atrial fibrillation quality indicators: Informed dissent
9hF0. Excepted from atrial fibrillation quality indicators: Patient unsuitable

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Atrial fibrillation - rationale for inclusion of indicator set

Atrial fibrillation (AF) is common, and an important cause of morbidity and mortality. The age specific prevalence of atrial fibrillation is rising, presumably due to improved survival of people with coronary heart disease (the commonest underlying cause of AF (Psaty et al. Circulation 1997; 96: 2455-61). One percent of a typical practice population will be in AF; 5 per cent of over 65s, and 9 per cent of patients aged 75 and over. Atrial fibrillation is associated with a five fold increase in risk of stroke (Wolf et al. Stroke 1991; 22: 983-88).

SIGN clinical guideline 94. Cardiac arrhythmias in CHD. 2007.
www.sign.ac.uk/guidelines/fulltext/94/index.html

SIGN clinical guideline 129. Antithrombotics: indications and management. 2013.
http://www.sign.ac.uk/guidelines/fulltext/129/index.html

AF 001.1 Rationale

The register includes all patients with an initial event; paroxysmal; persistent and permanent AF.

AF 001.2: Reporting and verification

See indicator wording for requirement criteria.

Where a patient has been diagnosed with AF and been subsequently successfully treated, if there is an 'AF resolved code' present in their record after the latest AF recording, they will be removed from the register. However, this should not be done for patients with a paroxysmal AF (PAF) which is clinical and based on patient history.

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Prepared By Jean Keenan