One-Year Outcomes of Emergency Department Patients With Atrial Fibrillation

Author:

Yang Yan-Min1,Shao Xing-Hui1,Zhu Jun1,Zhang Han1,Liu Yao1,Gao Xin1,Yu Li-Tian1,Liu Li-Sheng1,Zhao Li2,Yu Peng-Fei3,Zhang Hua4,He Qing5,Gu Xiao-Dan6

Affiliation:

1. Emergency and Intensive Care Center, Fuwai Hospital, Chinese Academy Of Medical Sciences and Peking Union Medical College, Beijing, China

2. Department of Emergency, Fu Xing Hospital, Capital Medical University, Beijing, China

3. Department of Cardiology, Pingdu People’s Hospital, Pingdu, Shandong, China

4. Department of Emergency, Qingdao Municipal Hospital, Qingdao, Shandong, China

5. Department of Emergency, West China Hospital, Sichuan University, Chengdu, Sichuan, China

6. Department of Emergency, Sixth People's Hospital of Chengdu, Chengdu, Sichuan, China

Abstract

There is lack of data about patient characteristics, practice patterns, and long-term adverse outcomes in patients with atrial fibrillation (AF) attending emergency departments (EDs) in China. A total of 2016 patients from 20 representative EDs were included. During 1 year, all-cause mortality was 291 (14.6%) cases, stroke/noncentral nervous system systemic embolism rate was 159 (8.0%) cases, and major bleeding was 26 (1.3%) cases. Heart failure, the major cause of mortality, accounted for 43.0% of deaths. Of 375 (18.6%) patients who used warfarin at baseline, only 217 (57.9%) patients were still on anticoagulation therapy during 1-year follow-up. Compared with the patients who continued on warfarin, the mortality rate was higher in those who did not continue (15.9% vs 5.5%, P < .001). Patients seen in ED with AF appear to have a high incidence rate of long-term all-cause mortality and inadequate anticoagulation rate.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

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