Atrial Fibrillation
Conditions
Keywords
atrial fibrillation, disease management program, integrated chronic care program, guideline, stroke, heart failure, quality of life, costs
Brief summary
* Randomized controlled trial comparing specialized AF Clinic with 'care as usual' * Hypothesis: treatment of AF patients in the AF-Clinic by a nurse, specialised in AF, using guideline-based dedicated software, under supervision of a cardiologist, is efficient, safe and not inferior to care as usual by a cardiologists.
Interventions
OTHERAF Clinic
Treatment of atrial fibrillation patients by specialized nurses, supervised by cardiologists, using dedicated software to ensure maximal adherence to AHA/ACC/ESC guidelines on atrial fibrillation treatment
OTHERCare as Usual
Routine clinical care of atrial fibrillation patients, provided by cardiologists, without the help of specialized nurses or dedicated software.
Sponsors
Maastricht University Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Newly diagnosed atrial fibrillation
Exclusion criteria
* Age \< 18 years * unwillingness to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composite of heart failure, thromboembolic complications, bleeding, severe adverse effects of drugs and death from cardiovascular causes. | minimum of 1 year |
Secondary
| Measure | Time frame |
|---|---|
| All cause mortality, all cause hospitalizations, Treatment (benchmarking) in accordance to the 2006 AHA/ACC/ESC guidelines in AF, quality of life, patient satisfaction, anxiety, depression, compliance and cost effectiveness. | minimum of 1 year |
Countries
Netherlands
Outcome results
None listed