Evidence map›Paper›PMID 24042075›Full record

Observational studyAtencion primaria2014

[The management of atrial fibrillation and characteristics of its current care in outpatients. AFABE observational study].

Emmanuel Giménez-García, Josep Lluís Clua-Espuny, Ramón Bosch-Príncep, Carlos López-Pablo, Iñigo Lechuga-Durán, Miquel Gallofré-López, Anna Panisello-Tafalla, Jorgina Lucas-Noll, Maria Lluisa Queralt-Tomas

Registry-linked trialAbstract readEnglish AbstractMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Atencion primaria, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03589170 (Atrial Fibrilation Opportunistic Screening and Stroke Incidence), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03589170 unknown statusnot on this mapstarted 2016, after this paper: background citation

Atrial Fibrilation Opportunistic Screening and Stroke Incidence (AFOSS): Searching the Unknown Atrial Fibrillation.

Typeobservational_patient_registrySponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2016 to 2019Enrolled51,410ConditionsAtrial FibrillationArmsOpportunistic atrial fibrillation screening
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Emmanuel Giménez-GarcíaAntares Consulting HEOR, España.
Josep Lluís Clua-EspunyAtención Primaria/Hospitalaria, Institut Català de la Salut, Gerència Territorial Terres de l'Ebre, Tortosa, España.
Ramón Bosch-PríncepAtención Primaria/Hospitalaria, Institut Català de la Salut, Gerència Territorial Terres de l'Ebre, Tortosa, España.
Carlos López-PabloUSR Terres de l'Ebre, IDIAP/IISPV/UAB/URV, Tortosa, España. Electronic address: clpclp3@gmail.com.
Iñigo Lechuga-DuránAtención Primaria/Hospitalaria, Institut Català de la Salut, Gerència Territorial Terres de l'Ebre, Tortosa, España.
Miquel Gallofré-LópezPla Director de la Malaltia Vascular Cerebral de Catalunya, Departament de Salut Catalunya, Barcelona, España.
Anna Panisello-TafallaAtención Primaria/Hospitalaria, Institut Català de la Salut, Gerència Territorial Terres de l'Ebre, Tortosa, España.
Jorgina Lucas-NollAtención Primaria/Hospitalaria, Institut Català de la Salut, Gerència Territorial Terres de l'Ebre, Tortosa, España.
Maria Lluisa Queralt-TomasAtención Primaria/Hospitalaria, Institut Català de la Salut, Gerència Territorial Terres de l'Ebre, Tortosa, España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo provide insights into the characteristics and management of outpatients when their atrial fibrillation (AF) was first detected: diagnosis, treatment and follow-up in the context of the public health system.

designAFABE is an observational, multicentre descriptive study with retrospective data collection relating to the practice patterns, management and initial strategies of treatment of patients with diagnosed AF in the context of primary care, emergency and cardiologists of the public health system.

settingPrimary and Specialist care. Baix Ebre region. Tarragona. Spain. SUBJECTS: A representative sample of 182 subjects > 60-year-old with AF who have been randomized, recruited among the registered patients with AF in 22 primary care centres in the area of the study. MESUREMENTS: Demographic data, comorbidities (AF), CHA2DS2-VASc and HAS_BLED scores, and practice patterns results between Primary Care and referral services.

resultsA total of 182 patients were included (mean age 78.5 SD:7.3 years; 50% women). Most patients (68.3% 95%CI; 60.3-76.3) had the first contact in Primary Care, of which 56.3% (95%CI; 45.2-66.0) were sent to Hospital Emergency Department where 72.7% (95%CI: 63.5-79.0) of the oral anticoagulation and 58.4% (95%CI: 49.4-66.9) of antiarrhytmic treatments were started. More than half (55.9%:95%CI; 47.2-64.7, of patients with permanent AF were followed-up by the Cardiology department.

conclusionsMost patients with newly diagnosed AF made a first contact with Primary Care, but around half were sent to Hospital Emergency departments, where they were treated with an antiarrhythmic and/or oral anticoagulation.

Indexed as

AgedAmbulatory CareAtrial FibrillationCritical PathwaysFemaleHumansMaleOutpatientsRetrospective StudiesAtención especializadaAtención primariaAtrial fibrillationEstudio observacionalFibrilación auricularObservational studyOutpatientsPacientes ambulatoriosPrimary careSpecialized careTratamientoTreatment

Identifiers

PMID24042075
PMCPMC6985628

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.