Abstract

 Presence of prosthetic heart valve or significant valvular heart disease (defined as: mitral stenosis, moderate or severe aortic stenosis, or severe mitral regurgitation).  Active malignancy.  Life expectancy < 12 months.  An existing clinical indication for OAC treatment other than AF (e.g. venous thromboembolism, hypercoagulable disorders)  Prior participation in an OAC randomized trial. Statistical Analysis Plan:  Agreement between physician-reported and score-derived risks was reported by the weighted kappa with 95% confidence intervals (CI).  Weighted kappa values of 0.01-0.20, 0.21-0.40, 0.41-0.60, 0.61-0.80, and 0.81-0.99 represent slight, fair, moderate, good, and excellent agreement, respectively.  The weighted kappa was used since the categorization of bleeding and stroke risk consisted of 3 levels (low, moderate, high).

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