Atrial Fibrillation Clinical Trial
Official title:
Patient Specific Reasons for Attending the Emergency Department in the Setting of a Background History of Atrial Fibrillation
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.
This study is a multi-centre, multi-provincial, patient survey using mixed methods. 778
patients will be enrolled from 9 centres in 3 provinces from academic, urban, and rural
centres to achieve geographical and health system heterogeneity. The planned duration of the
entire study (enrollment through follow-up) is approximately 12 months. Patients presenting
to the ED with a primary diagnosis of AF and with a prior diagnosis of established AF will be
approached to participate. Each centre will be responsible for obtaining local consent. Data
will be stored confidentially and securely at the coordinating centre (Queens University,
Kingston, Ontario).
Patients who meet the inclusion criteria will be invited to take part at the time of
presentation to the ED or after their ED visit. For all enrolled patients, one follow up
telephone call will be made within one to four weeks of the ED visit by a social scientist
with specialised training in questionnaires based in Queens University, Kingston, Ontario.
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