Evidence map›Paper›PMID 40360983›Full record

ArticleInternational journal of emergency medicine2025

Stroke prophylaxis after US emergency department diagnosis and discharge of patients with atrial fibrillation and flutter from 21 hospitals.

Bory Kea, E Margaret Warton, Candice E Kutz, Erin Kinney, Dustin W Ballard, Mary E Reed, Gregory Y H Lip, Merritt Raitt, Benjamin C Sun, David R Vinson and 1 more

Abstract read
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In one paragraph

Article in International journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Bory KeaDepartment of Emergency Medicine, Oregon Health and Science University, Portland, OR, USA. kea@ohsu.edu.ORCID http://orcid.org/0000-0002-9719-5988
E Margaret WartonKaiser Permanente Northern California Division of Research, Pleasanton, CA, USA.
Candice E KutzDivision of Cardiovascular Medicine, Stanford Health Care, Stanford, CA, USA.
Erin KinneyDepartment of Emergency Medicine, University of Washington, Seattle, WA, USA.
Dustin W BallardKaiser Permanente Northern California Division of Research, Pleasanton, CA, USA.
Mary E ReedKaiser Permanente Northern California Division of Research, Pleasanton, CA, USA.
Gregory Y H LipLiverpool Centre for Cardiovascular Science at the University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, UK.
Merritt RaittVA Portland Health Care System, Portland, OR, USA.
Benjamin C SunDepartment of Emergency Medicine and the Leonard Davis Institute, University of Pennsylvania, Philadelphia, PA, USA.
David R VinsonKaiser Permanente Northern California Division of Research, Pleasanton, CA, USA.
KP CREST Network

Funding

Optimal Anticoagulation Strategies for Acute Atrial FibrillationK08HL140105 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI KEA, BORY · 2018 to 2020
$487k
NHLBI NIH HHS 1K08HL140105NHLBI NIH HHS K08 HL140105
6 · The paper itself

Abstract

backgroundOral anticoagulation (OAC) reduces stroke and mortality risk in patients with non-valvular atrial fibrillation/flutter (AF). Patterns of OAC initiation upon discharge from US emergency departments (ED) are poorly understood. We sought to examine stroke prophylaxis actions upon, and shortly following, ED discharge of stroke-prone AF patients.

methodsWe included all adults with a primary diagnosis of non-valvular AF, high stroke risk (CHA

resultsWe studied 9,603 eligible ED discharges (mean age 73.1 ± 11.4 years, 62.3% female), and mean CHA

conclusionWithin a community-based ED population of AF patients at high stroke risk, rates of appropriate stroke prevention action increased over the 7-year study period. Rates of AF thromboprophylaxis may be improved by addressing sex and age disparities, as females and those age ≥ 75 were less likely to receive indicated stroke prevention.

Indexed as

Atrial fibrillationAtrial flutterEmergency departmentOral anticoagulationStroke prophylaxis

Identifiers

PMID40360983
PMCPMC12070657

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Registered trials

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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.