A review of hospital based management of atrial fibrillation

A review of the inpatient and emergency department management of atrial fibrillation

Status

Completed

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12618001890224

Acronym

REVIEW-AF

Enrollment

438

Registered

2018-11-21

Start date

2016-07-05

Completion date

2018-07-19

Last updated

2018-11-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The aim of this study is to examine reasons for re-presentation to emergency departments or admissions to hospital in a cohort of individuals with atrial fibrillation (AF). The use of treatment for AF, including rate and rhythm controlling strategies, and blood thinning medications (anticoagulation) to reduce the risk of stroke will also be explored. Factors associated with emergency department re-presentations and/or hospital admissions will also be examined.

Interventions

The aim of this study is to characterise hospital based health care resource utilisation in a cohort of individuals with atrial fibrillation. The cohort of individuals comprises of participants who presented to the emergency departments of three hospitals over a one year period (2013-2014) primarily due to atrial fibrillation. Emergency department presentations and hospital admissions over an approximate four year follow up period (ranging from 2013-2018) will be recorded with a view towards characterising reasons for re-presentations to the emergency department and hospital admissions. This information will be obtained retrospectively by electronic medical review. The management of atrial fibrillation will be explored including the use of rate and rhythm control therapies and appropriate use of oral anticoagulation to reduce stroke risk. Factors predictive of re-presentation and hospitalisation will be examined.

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

Individuals presenting to the emergency department of three public hospitals in South Australia with a principal diagnosis, by ICD-9 or ICD-10 coding, of atrial fibrillation and/or atrial flutter.

Exclusion criteria

Individuals residing in states other than South Australia, overseas visitors, individuals presenting to hospital for elective AF related procedures, individuals presenting to hospitals which do not publish their emergency department or hospital admission correspondence on electronic health databases.

Outcome results