Reducing atrial fibrillation through ED protocol

A doctor uses a stethoscope to listen to a patient's heart.

Researchers from the 成人大片 will investigate if a streamlined approach to treating atrial fibrillation (AF) in emergency departments leads to a reduction in heart-related hospitalisations.

AF 鈥 a type of arrhythmia that causes the heart to beat in a fast and irregular way - is the leading cause of heart-related hospitalisations in Australia.

Director of the Centre for Heart Rhythm Disorders at the 成人大片鈥檚 Adelaide Medical School, Professor Prash Sanders, said the study aimed to examine the effect of an emergency department (ED) protocol to guide clinicians in the treatment of AF.

鈥淢ultiple studies have demonstrated there is a significant variation in how admissions to hospital for AF from the ED are treated, meaning that a number of hospitalisations could be preventable,鈥 Professor Sanders said.

鈥淥verseas studies have shown that a streamlined protocol based approach reduces hospitalisations with many clinical conditions.

鈥淲e will evaluate an innovative model of care for the treatment of AF, encompassing a consistent approach in ED鈥檚 with early outpatient follow up in a rapid access AF clinic.

鈥淭he AF clinic will ensure delivery of care that adheres to strict guidelines, thereby reducing the risk of AF related complications.

鈥淲e will also examine the impact of the patient鈥檚 quality of life and what symptoms they have for 12 months after they are diagnosed.鈥

鈥淭his is an important study because atrial fibrillation (AF) is a global epidemic associated with significant morbidity and mortality... Urgent strategies are needed to mitigate this growing trend.鈥Professor Prash Sanders


AF reduces the heart鈥檚 ability to pump blood properly through the body, increasing the chance of blood clots forming in the heart and travelling up to the brain, where it can cause a stroke.

鈥淭his is an important study because AF is a global epidemic associated with significant morbidity and mortality,鈥 Professor Sanders said.

鈥淎F is a major source of loss productivity and is an ever-increasing burden on the health care system.

鈥淯rgent strategies are needed to mitigate this growing trend.鈥

Professor Prash Sanders smiles at the camera.

Professor Prash Sanders.

The investigator team for this study includes Professor Sanders, Celine Gallagher, Adrian Elliot, Dennis Lau, Gijo Thomas, Melissa Middeldorp, Christopher Wong and Jean Jacques Noubiap from the 成人大片, Jeroen Hendriks and Anand Ganesan (Flinders University), Debra Rowett (University of South Australia), and Thiruvenkatam Govindan (Royal Adelaide Hospital).

The National Health and Medical Research Council has awarded more than $1 million over three years to fund the research from the Medical Research Future Fund 鈥 2022 Models of Care To Improve the Efficiency and Effectiveness of Acute Care Grant.

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