Clinical and Economic Impact of an Organized Treatment Pathway on AFib Patient Management From the ER (ER2EP)

Kansas City Heart Rhythm Research Foundation

Status: Unknown

Conditions: Atrial Fibrillation; Cardiac Arrhythmia

Treatments: Other: Quality improvement

Study type: Observational

Funder types: Other

Identifiers

NCT04476524

KCHRF-ER2EP-0004

Details and patient eligibility

About

Investigators developed a multidimensional protocol for the management of AF in the emergency department. Investigators aimed to assess if this new ER AF management protocol would result in better outcomes compared to routine care.

Full description

Management variation such as selecting rate vs rhythm control, timing and need for thromboembolic treatment, ER vs inpatient treatment and cardiology consultation could lead to disparate care of patients. Therefore, there is a need for future studies to standardize practice leading to improved management, decreased rates of hospitalization and overall cost. Investigators developed a multidimensional protocol for the management of AF in the emergency department. Investigators aimed to assess if this new ER AF management protocol would result in better outcomes compared to routine care.

Enrollment: 200 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Consecutive patients > 18 years of age who comes to the ER with AF as the primary diagnosis and is treated according to study protocol.

Exclusion criteria

• Patients with established cardiology or electrophysiology care.

Trial design

200 participants in 2 patient groups

Study Arm

Description:

Patients who present with AF as the primary diagnosis to the ER will have their chart reviewed

Treatment:

Other: Quality improvement

Historical Cohort

Description:

Historical control arm will be selected from chart review of emergency department prior to the commencement of this study after propensity matching with age and sex.

Treatment:

Other: Quality improvement