Atrial Fibrillation Clinical Trial
Official title:
Simulation-based Technologies to Improve the Appropriate Use of Oral Anticoagulants in Hospitalized Elderly Patients With Atrial Fibrillation
Atrial Fibrillation (AF) is the most common cardiac arrhythmia and the main cause of
cardioembolic stroke. Oral Anticoagulation (OAC) has been shown to significantly prevent
AF-related thromboembolism, however, despite convincing evidences and current guidelines
recommendations, OAC tends to be underused in clinical practice especially in the oldest.
Education and training to appropriately select people suitable for OAC for stroke prevention
could be pivotal in the decision making process. According to the study project, physicians
working in Internal Medicine and Geriatric wards, where are mainly admitted elderly people
with AF, will undergo to a program of e-learning through computer-based simulation method
reproducing clinical scenarios of patients aged 65 years or older, with known or newly
diagnosed AF, admitted to hospital for any medical reason and requesting that a decision
about long-term antithrombotic therapy is taken.
Primary objective of the study is to investigate whether such educational intervention will
improve the appropriate use and prescription rate of OAC in hospitalised elderly patients
with AF, multimorbidity and polypharmacy, in comparison to the usual practice.
The study will be a cluster randomised controlled trial involving a network of Internal
Medicine and Geriatrics wards. Thirty-two wards will be recruited based on voluntary
participation and randomised to receive an educational intervention through computer-based
simulation, (N=16) or to continue with the usual practice (N=16). Subjects receiving the
intervention will be all the staff physicians of the wards randomised in the intervention
arm.
The impact of the intervention compared with the usual practice will be evaluated in patients
aged 65 years or older admitted to the participating centres with a known diagnosis of AF or
newly diagnosed with AF during the hospitalisation.
n/a
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT05654272 -
Development of CIRC Technologies
|
||
Terminated |
NCT04115735 -
His Bundle Recording From Subclavian Vein
|
||
Completed |
NCT04571385 -
A Study Evaluating the Efficacy and Safety of AP30663 for Cardioversion in Participants With Atrial Fibrillation (AF)
|
Phase 2 | |
Completed |
NCT05366803 -
Women's Health Initiative Silent Atrial Fibrillation Recording Study
|
N/A | |
Completed |
NCT02864758 -
Benefit-Risk Of Arterial THrombotic prEvention With Rivaroxaban for Atrial Fibrillation in France
|
||
Recruiting |
NCT05442203 -
Electrocardiogram-based Artificial Intelligence-assisted Detection of Heart Disease
|
N/A | |
Completed |
NCT05599308 -
Evaluation of Blood Pressure Monitor With AFib Screening Feature
|
N/A | |
Completed |
NCT03790917 -
Assessment of Adherence to New Oral anTicoagulants in Atrial Fibrillation patiEnts Within the Outpatient registrY
|
||
Enrolling by invitation |
NCT05890274 -
Atrial Fibrillation (AF) and Electrocardiogram (EKG) Interpretation Project ECHO
|
N/A | |
Recruiting |
NCT05266144 -
Atrial Fibrillation Patients Treated With Catheter Ablation
|
||
Recruiting |
NCT05316870 -
Construction and Effect Evaluation of Anticoagulation Management Model in Atrial Fibrillation
|
N/A | |
Not yet recruiting |
NCT06023784 -
The Impact of LBBAP vs RVP on the Incidence of New-onset Atrial Fibrillation in Patients With Atrioventricular Block
|
N/A | |
Recruiting |
NCT05572814 -
Transform: Teaching, Technology, and Teams
|
N/A | |
Recruiting |
NCT04092985 -
Smart Watch iECG for the Detection of Cardiac Arrhythmias
|
||
Completed |
NCT04087122 -
Evaluate the Efficiency Impact of Conducting Active Temperature Management During Cardiac Cryoablation Procedures
|
N/A | |
Completed |
NCT06283654 -
Relieving the Emergency Department by Using a 1-lead ECG Device for Atrial Fibrillation Patients After Pulmonary Vein Isolation
|
||
Recruiting |
NCT05416086 -
iCLAS™ Cryoablation System Post-Market Clinical Follow-up (PMCF) Study
|
N/A | |
Completed |
NCT05067114 -
Solutions for Atrial Fibrillation Edvocacy (SAFE)
|
||
Completed |
NCT04546763 -
Study Watch AF Detection At Home
|
||
Completed |
NCT03761394 -
Pulsewatch: Smartwatch Monitoring for Atrial Fibrillation After Stroke
|
N/A |