Evidence map›Paper›PMID 31510841›Full record

ArticleJournal of the American Heart Association2019

Impact of a Multidisciplinary Treatment Pathway for Atrial Fibrillation in the Emergency Department on Hospital Admissions and Length of Stay: Results of a Multi-Center Study.

Leon M Ptaszek, Christopher W Baugh, Steven A Lubitz, Jeremy N Ruskin, Grace Ha, Margaux Forsch, Samer A DeOliveira, Samia Baig, E Kevin Heist, Jason H Wasfy and 6 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05294445 (From the Emergency Department Directly to Ablation of Atrial Fibrillation - Study - The "EMERGE-Cryo-Study"), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

NCT05294445 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

From the Emergency Department Directly to Ablation of Atrial Fibrillation - Study - The "EMERGE-Cryo-Study"

TypeinterventionalSponsorAsklepios proresearchRan2021 to 2028Enrolled350ConditionsAtrial Fibrillation (AF)ArmsAblation of atrial fibrillation (AF)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Integrated Care in Atrial Fibrillation: A Road Map to the Future.Circulation. Cardiovascular quality and outcomes · 2021
    Review
  12. Article
  13. Streamlining Care: Effective Approaches to Decreasing Observation Status Length of Stay in Community Medical Centers.Journal for healthcare quality : official publication of the National Association for Healthcare Quality
    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

16 authors.

Leon M PtaszekCardiac Arrhythmia Service Massachusetts General Hospital Boston MA.
Christopher W BaughDepartment of Emergency Medicine Brigham and Women's Hospital Boston MA.
Steven A LubitzCardiac Arrhythmia Service Massachusetts General Hospital Boston MA.
Jeremy N RuskinCardiac Arrhythmia Service Massachusetts General Hospital Boston MA.
Grace HaCardiac Arrhythmia Service Massachusetts General Hospital Boston MA.
Margaux ForschCardiac Arrhythmia Service Massachusetts General Hospital Boston MA.
Samer A DeOliveiraCardiac Arrhythmia Service Massachusetts General Hospital Boston MA.
Samia BaigCardiac Arrhythmia Service Massachusetts General Hospital Boston MA.
E Kevin HeistCardiac Arrhythmia Service Massachusetts General Hospital Boston MA.
Jason H WasfyCardiology Division Massachusetts General Hospital Boston MA.
David F BrownDepartment of Emergency Medicine Massachusetts General Hospital Boston MA.
Paul D BiddingerDepartment of Emergency Medicine Massachusetts General Hospital Boston MA.
Ali S RajaDepartment of Emergency Medicine Massachusetts General Hospital Boston MA.
Benjamin SciricaHeart and Vascular Center Brigham and Women's Hospital Boston MA.
Benjamin A WhiteDepartment of Emergency Medicine Massachusetts General Hospital Boston MA.
Moussa MansourCardiac Arrhythmia Service Massachusetts General Hospital Boston MA.

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
NCRR NIH HHS UL1 RR025758
6 · The paper itself

Abstract

Background Variability in the management of atrial fibrillation (AF) in the emergency department (ED) leads to avoidable hospital admissions and prolonged length of stay (LOS). In a retrospective single-center study, a multidisciplinary AF treatment pathway was associated with a reduced hospital admission rate and reduced LOS. To assess the applicability of the AF pathway across institutions, we conducted a 2-center study. Methods and Results We performed a prospective, 2-stage study at 2 tertiary care hospitals. During the first stage, AF patients in the ED received routine care. During the second stage, AF patients received care according to the AF pathway. The primary study outcome was hospital admission rate. Secondary outcomes included ED LOS and inpatient LOS. We enrolled 104 consecutive patients in each stage. Patients treated using the AF pathway were admitted to the hospital less frequently than patients who received routine care (15% versus 55%;

Indexed as

Electric CountershockPatient Care TeamAgedAged, 80 and overAmbulatory CareAnti-Arrhythmia AgentsAnticoagulantsAtrial FibrillationCardiologyCritical PathwaysEmergency MedicineEmergency Service, HospitalFactor Xa InhibitorsFemaleHospitalizationHumansAnti-Arrhythmia AgentsAnticoagulantsFactor Xa InhibitorsWarfarinatrial fibrillationcardioversionemergency departmentoral anticoagulant

Identifiers

PMID31510841
PMCPMC6818017

What OpenQuestion holds

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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.