A.Fib Emergency Department Study Atrial Fibrillation

NCT03127085 | Completed

• 1 other identifier: AF ED
• Study Type: observational
• Target: 297
• Locations: 1 country
• Sites: 1

Brief Summary

Patients with a history of atrial fibrillation (AF) who frequently attend the emergency department (ED) with symptoms may not require emergency treatment, and may be more appropriately managed in an alternative outpatient setting. This may be the result of inappropriate or inadequate advice or a lack of patient understanding. The main research objective pertains to the reason for seeking medical attention for AF in the ED, ED management of the patient, outcomes of ED care and alternative strategies.

Conditions

Atrial Fibrillation

Outcome Measures

Primary Outcomes (1)

• Patient decisions and perceptions before an after attending the emergency department with symptoms which may be related to atrial fibrillation

  A detailed telephone survey will be performed in which patients with a known history of atrial fibrillation and symptoms which they feel are related to their diagnosis and who are agreeable to take part in the study will be called by a social scientist. They will be asked a series of questions and their responses will be recorded either on a Likert scale (symptom severity, satisfaction with treatment, quality of life) or as qualitative data (exact symptoms, fears and concerns relating to their underlying diagnosis)

  All surveys will occur within a time period of less than or equal to four weeks post emergency department visit

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients with a known history of atrial fibrillation that seek emergent medical attention for symptoms of atrial fibrillation.

You may qualify if:

• Male or female ≥ 18 years of age
• Atrial fibrillation is the primary reason for ED visit (documented by 12-lead ECG or Holter rhythm strip by a member of the healthcare team providing care to the patient).
• Patients with an established history of AF (prior diagnosis with ECG / rhythm strip evidence of AF)
• Patient must be literate in English
• Patient must provide informed consent

You may not qualify if:

• Male or female \< 18 years of age
• Non-English speaking
• unable and/or unwilling to consent
• Acute coronary syndrome (ischemic chest pain, ST changes, + troponin \[mild troponin elevation alone does not exclude the patient\])
• Cardiogenic shock or class IV congestive heart failure at the time of visit
• Enrolled in a cardiovascular drug or device research study
• New onset atrial fibrillation

Sponsors & Collaborators

• Queen's University: lead
• Cardiac Arrhythmia Network of Canada: collaborator

Study Sites (1)

Kingston Health Sciences Centre - Kingston General Hospital Site

Kingston, Ontario, K7L 2V7, Canada

Location

Related Publications (1)

• Hong KL, Babiolakis C, Zile B, Bullen M, Haseeb S, Halperin F, Hohl CM, Magee K, Sandhu RK, Tian SY, Kennedy A, Lobban T, Mariano Z, Dorian P, Angaran P, Evans M, Leong-Sit P, Glover BM. Canada-wide mixed methods analysis evaluating the reasons for inappropriate emergency department presentation in patients with a history of atrial fibrillation: the multicentre AF-ED trial. BMJ Open. 2020 Apr 16;10(4):e033482. doi: 10.1136/bmjopen-2019-033482.

  PMID: 32303514 DERIVED

MeSH Terms

Conditions

Atrial Fibrillation

Condition Hierarchy (Ancestors)

Arrhythmias, Cardiac; Heart Diseases; Cardiovascular Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Benedict Glover, MD

  Queen's University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chief of Cardiac Arrhythmia Service, Queen's University, Kingston, Ontario

Study Record Dates

• First Submitted: April 17, 2017
• First Posted: April 25, 2017
• Study Start: April 21, 2017
• Primary Completion: September 27, 2018
• Study Completion: September 27, 2018
• Last Updated: February 15, 2019

Record last verified: 2019-02

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)