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Evaluating early repeat emergency department use in patients with atrial fibrillation: A population-based analysis

Emergency department (ED) use by patients with atrial fibrillation is high and will accelerate with the aging of the population. In patients with atrial fibrillation who are discharged from the ED, we aimed to describe their subsequent outpatient care, return ED visits, and management strategies ass... Full description

Journal Title: American Heart Journal June 2013, Vol.165(6), pp.939-948
Main Author: Atzema, Clare L
Other Authors: Dorian, Paul , Ivers, Noah M , Chong, Alice S , Austin, Peter C
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0002-8703 ; E-ISSN: 1097-6744 ; DOI: 10.1016/j.ahj.2013.02.026
Link: https://www.sciencedirect.com/science/article/pii/S0002870313001555
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recordid: elsevier_sdoi_10_1016_j_ahj_2013_02_026
title: Evaluating early repeat emergency department use in patients with atrial fibrillation: A population-based analysis
format: Article
creator:
  • Atzema, Clare L
  • Dorian, Paul
  • Ivers, Noah M
  • Chong, Alice S
  • Austin, Peter C
subjects:
  • Medicine
ispartof: American Heart Journal, June 2013, Vol.165(6), pp.939-948
description: Emergency department (ED) use by patients with atrial fibrillation is high and will accelerate with the aging of the population. In patients with atrial fibrillation who are discharged from the ED, we aimed to describe their subsequent outpatient care, return ED visits, and management strategies associated with early return. We conducted a retrospective cohort analysis of patients 65 years or older with a primary ED diagnosis of atrial fibrillation who were discharged home from an ED in the province of Ontario, Canada, between April 2007 and March 2010. We describe subsequent outpatient care and repeat ED visits within 14 days of the index visit. We assessed factors associated with a repeat visit, overall, as well as by repeat visit outcome (discharged or admitted). Among 12,772 index ED visits, the mean (SD) age was 77 (7.4) years, and 14-day mortality was 0.7% (95% CI 0.5%-0.8%). Within 14 days, 67.8% had no follow-up care, 19.4% saw solely...
language: eng
source:
identifier: ISSN: 0002-8703 ; E-ISSN: 1097-6744 ; DOI: 10.1016/j.ahj.2013.02.026
fulltext: fulltext
issn:
  • 0002-8703
  • 00028703
  • 1097-6744
  • 10976744
url: Link


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titleEvaluating early repeat emergency department use in patients with atrial fibrillation: A population-based analysis
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descriptionEmergency department (ED) use by patients with atrial fibrillation is high and will accelerate with the aging of the population. In patients with atrial fibrillation who are discharged from the ED, we aimed to describe their subsequent outpatient care, return ED visits, and management strategies associated with early return. We conducted a retrospective cohort analysis of patients 65 years or older with a primary ED diagnosis of atrial fibrillation who were discharged home from an ED in the province of Ontario, Canada, between April 2007 and March 2010. We describe subsequent outpatient care and repeat ED visits within 14 days of the index visit. We assessed factors associated with a repeat visit, overall, as well as by repeat visit outcome (discharged or admitted). Among 12,772 index ED visits, the mean (SD) age was 77 (7.4) years, and 14-day mortality was 0.7% (95% CI 0.5%-0.8%). Within 14 days, 67.8% had no follow-up care, 19.4% saw solely...
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Emergency department (ED) use by patients with atrial fibrillation is high and will accelerate with the aging of the population. In patients with atrial fibrillation who are discharged from the ED, we aimed to describe their subsequent outpatient care, return ED visits, and management strategies associated with early return.

We conducted a retrospective cohort analysis of patients 65 years or older with a primary ED diagnosis of atrial fibrillation who were discharged home from an ED in the province of Ontario, Canada, between April 2007 and March 2010. We describe subsequent outpatient care and repeat ED visits within 14 days of the index visit. We assessed factors associated with a repeat visit, overall, as well as by repeat visit outcome (discharged or admitted).

Among 12,772 index ED visits, the mean (SD) age was 77 (7.4) years, and 14-day mortality was 0.7% (95% CI 0.5%-0.8%). Within 14 days, 67.8% had no follow-up care, 19.4% saw solely...

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abstract

Emergency department (ED) use by patients with atrial fibrillation is high and will accelerate with the aging of the population. In patients with atrial fibrillation who are discharged from the ED, we aimed to describe their subsequent outpatient care, return ED visits, and management strategies associated with early return.

We conducted a retrospective cohort analysis of patients 65 years or older with a primary ED diagnosis of atrial fibrillation who were discharged home from an ED in the province of Ontario, Canada, between April 2007 and March 2010. We describe subsequent outpatient care and repeat ED visits within 14 days of the index visit. We assessed factors associated with a repeat visit, overall, as well as by repeat visit outcome (discharged or admitted).

Among 12,772 index ED visits, the mean (SD) age was 77 (7.4) years, and 14-day mortality was 0.7% (95% CI 0.5%-0.8%). Within 14 days, 67.8% had no follow-up care, 19.4% saw solely...

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