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

• Conditions: Atrial Fibrillation; Cardiac Arrhythmia
• Interventions: Other: Quality improvement

• Registration Number: NCT04476524
• Lead Sponsor: Kansas City Heart Rhythm Research Foundation

Brief Summary

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.

Detailed 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.

Study Timeline

• Study First Submitted: 2020-07-14
• Study First Submitted QC: 2020-07-17
• Study First Posted: 2020-07-20
• Study Start: 2020-08-15
• Status Verified: 2021-02
• Last Update Submitted: 2021-02-02
• Last Update Posted: 2021-02-04
• Primary Completion: 2021-11
• Study Completion: 2021-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 200

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.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Historical Cohort	Quality improvement	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.
Study Arm	Quality improvement	Patients who present with AF as the primary diagnosis to the ER will have their chart reviewed

Primary Outcome Measures

Name	Time	Method
Cumulative resource utilization in dollars	15 months	Primary Outcome
Time to definitive therapy (AAD and or Ablation)	15 months	Primary Outcome
Number of Hospital/clinic visits	15 months	Primary Outcome

Trial Locations

Locations (1)

Kansas City Heart Rhythm Institute; 🇺🇸 Overland Park, Kansas, United States