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- Title
One-Year Outcomes of Emergency Department Patients With Atrial Fibrillation.
- Authors
Yang, Yan-Min; Shao, Xing-Hui; Zhu, Jun; Zhang, Han; Liu, Yao; Gao, Xin; Yu, Li-Tian; Liu, Li-Sheng; Zhao, Li; Yu, Peng-Fei; Zhang, Hua; He, Qing; Gu, Xiao-Dan
- Abstract
There is lack of data about patient characteristics, practice patterns, and long-term adverse outcomes in patients with atrial fibrillation (AF) attending emergency departments (EDs) in China. A total of 2016 patients from 20 representative EDs were included. During 1 year, all-cause mortality was 291 (14.6%) cases, stroke/noncentral nervous system systemic embolism rate was 159 (8.0%) cases, and major bleeding was 26 (1.3%) cases. Heart failure, the major cause of mortality, accounted for 43.0% of deaths. Of 375 (18.6%) patients who used warfarin at baseline, only 217 (57.9%) patients were still on anticoagulation therapy during 1-year follow-up. Compared with the patients who continued on warfarin, the mortality rate was higher in those who did not continue (15.9% vs 5.5%, P < .001). Patients seen in ED with AF appear to have a high incidence rate of long-term all-cause mortality and inadequate anticoagulation rate.
- Subjects
CHINA; ANTICOAGULANTS; DRUG therapy; WARFARIN; ATRIAL fibrillation; CONFIDENCE intervals; HEART failure; HOSPITAL emergency services; LONGITUDINAL method; MEDICAL cooperation; RESEARCH; RESEARCH funding; TREATMENT effectiveness; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio
- Publication
Angiology, 2015, Vol 66, Issue 8, p745
- ISSN
0003-3197
- Publication type
Article
- DOI
10.1177/0003319714553936