Integrated management of the heart rhythm disorder atrial fibrillation, including stroke prevention with blood thinners and care for comorbidities, by the practice nurse and general practitioner in primary care
- Conditions
- Atrial fibrillation, anticoagulation, comorbidity, integrated care, primary care. Atriumfibrilleren, antistolling, comorbiditeit, integrale zorg, eerste lijn.
- Registration Number
- NL-OMON23738
- Lead Sponsor
- Sponsor (verrichter) is the Isala hospital, Zwolle, the Netherlands. Performer (uitvoerder) is the Julius Center for Health Sciences and Primary Care of the University Medical Center Utrecht, The Netherlands.
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 1000
Participating primary care practices need to be willing and able to provide integral management to their AF patients.
Patients aged 65 years or over of participating practices with documented AF are eligible for participation if they do not meet any of the exclusion criteria.
Unwillingness to provide informed consent by the participating general practitioners is the only exclusion criterion for primary care practices in this study.
Patients are not eligible for this study if
a) they have a life expectancy shorter than 3 months,
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method All-cause mortality
- Secondary Outcome Measures
Name Time Method Cardiovascular mortality, cardiovascular and non-cardiovascular hospitalization, Major Adverse Cardiac Events (MACE), stroke, major bleeding, quality of life and cost-effectiveness.