Atrial fibrillation
Conditions
Interventions
Intervention Group (ADHM cohort):Administrative-driven hierarchical management (ADHM) of atrial fibrillation with ACC-to-ABC pathway
Control Group (UC cohort):Usual care (UC): matched with the ADHM cohort with an 1:5 ratio. Only observation, no intervention.
Sponsors
Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Atrial fibrillation participants (aged >=18 years) in all community medical and health centers in Changning District, Yangpu District, and Xuhui District of Shanghai; 2. Atrial fibrillation populations in other administrative districts of Shanghai with age, gender, and other factors 1:5 matching to the ADHM cohort (using the electronic information platform of the Shanghai Municipal Health Commission for matching).
Exclusion criteria
Exclusion criteria: 1. Non resident of Shanghai; 2. Resident without government-issued medical insurance; 3. Participants without information in the database until the research deadline; 4. Pregnant or have pregnant plan; 5. Life expectancy < 3 months; 6. Patients requiring immediate hospitalization or already receiving inpatient care at the time of enrollment; 7. Refused to participate.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Composite of all-cause death, ischemic stroke, systemic embolism, myocardial infarction, major bleeding, acute heart failure;Cardiovascular death;Non-cardiovascular death;All-cause death;Ischemic stroke;Systemic embolism;Myocardial infarction;Major bleeding;Acute heart failure; | — |
Primary
| Measure | Time frame |
|---|---|
| Composite of cardiovascular death, ischemic stroke, systemic embolism, myocardial infarction, major bleeding, acute heart failure; | — |
Countries
China
Contacts
Public ContactYi-Gang Li
Department of Cardiology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University
Outcome results
None listed