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- Title
Effect of targeted education for atrial fibrillation patients: Design of the EduCare‐AF Study.
- Authors
Delesie, Michiel; Knaepen, Lieselotte; Dendale, Paul; Vijgen, Johan; Ector, Joris; Verbeeck, Johan; Bruyndonckx, Robin; Desteghe, Lien; Heidbuchel, Hein
- Abstract
Keywords: atrial fibrillation; education; integrated care EN atrial fibrillation education integrated care 1 6 6 12/21/20 20210101 NES 210101 INTRODUCTION Atrial fibrillation (AF) is the most common cardiac arrhythmia worldwide with an already high prevalence (7.7% in a Dutch reference population >55 years), and this will further increase over the next decades.1,2 Atrial fibrillation is associated with a reduced quality of life and an increased morbidity and mortality which leads to high health-related expenditures.3 The overall management of AF is complex and needs to be tailored to the individual patient.1 However, adherence to evidence-based management guidelines is suboptimal in daily practice throughout Europe.4 The 2016 ESC Guidelines for the management of AF (applicable at the time this study protocol was being composed) strive to optimize the care for AF patients based on the concept of "Integrated AF management" which is based on four pillars, that is (I) patient involvement, (II) multidisciplinary team approach, (III) support by technology tools both for AF patients and for healthcare providers and (IV) access to all treatment options for these patients.1 Only a few studies have investigated the delivery of this integrated AF care in which a recent meta-analysis demonstrated a significant reduction in all-cause mortality and cardiovascular hospitalizations.5 Although, a more recent multicentre study could not show that nurse-led integrated AF care was superior to usual care.6 Important limitations in these studies were (a) the included subset of AF patients (eg, only patients with chronic AF or newly diagnosed AF), which precluded interpretation of the effectiveness of the interventions for the entire AF population and (b) the different approaches to deliver integrated care. EduCare-AF will also assess adherence of AF patients to their OAC, that is vitamin K antagonist (VKA) or NOAC, if taken.
- Subjects
ATRIAL fibrillation; EXPERIMENTAL design; ATRIAL flutter
- Publication
European Journal of Clinical Investigation, 2021, Vol 51, Issue 1, p1
- ISSN
0014-2972
- Publication type
Article
- DOI
10.1111/eci.13442