Implementation of an Atrial Fibrillation Decision Aid Care Pathway in the Emergency Department Reduces Atrial Fibrillation Hospitalizations.
Anil K GehiTiffany ArmbrusterJennifer WalkerLindsey A RosmanJeffrey LauxAri BeckerOludamilola AladesanmiAnthony J MazzellaZachariah DeyoKevin BiesePublished in: Circulation. Cardiovascular quality and outcomes (2023)
We demonstrate that implementation of a novel decision aid to guide disposition of patients primary diagnosis of AF presenting to the ED was associated with a reduced admission rate independent of patient and hospital factors. Use of the protocol was associated with a small but significant increase in rate of repeat presentations for AF at 30-day follow-up. Use of a decision aid such as the one described here represents an important tool to reduce unnecessary AF hospitalizations.
Keyphrases
- atrial fibrillation
- emergency department
- healthcare
- oral anticoagulants
- catheter ablation
- left atrial
- end stage renal disease
- left atrial appendage
- quality improvement
- primary care
- decision making
- direct oral anticoagulants
- heart failure
- chronic kidney disease
- case report
- ejection fraction
- newly diagnosed
- randomized controlled trial
- percutaneous coronary intervention
- peritoneal dialysis
- prognostic factors
- health insurance
- coronary artery disease
- acute care
- patient reported