Quality indicators for the care and outcomes of adults with atrial fibrillation.


Arbelo, Elena, Aktaa, Suleman, Bollmann, Andreas, D'Avila, André, Drossart, Inga, Dwight, Jeremy, Hills, Mellanie True, Hindricks, Gerhard, Kusumoto, Fred M, Lane, Deirdre A ORCID: 0000-0002-5604-9378 et al (show 12 more authors) (2020) Quality indicators for the care and outcomes of adults with atrial fibrillation. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 23 (4). 494-+.

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Abstract

AIMS:To develop quality indicators (QIs) that may be used to evaluate the quality of care and outcomes for adults with atrial fibrillation (AF). METHODS AND RESULTS:We followed the ESC methodology for QI development. This methodology involved (i) the identification of the domains of AF care for the diagnosis and management of AF (by a group of experts including members of the ESC Clinical Practice Guidelines Task Force for AF); (ii) the construction of candidate QIs (including a systematic review of the literature); and (iii) the selection of the final set of QIs (using a modified Delphi method). Six domains of care for the diagnosis and management of AF were identified: (i) Patient assessment (baseline and follow-up), (ii) Anticoagulation therapy, (iii) Rate control strategy, (iv) Rhythm control strategy, (v) Risk factor management, and (vi) Outcomes measures, including patient-reported outcome measures (PROMs). In total, 17 main and 17 secondary QIs, which covered all six domains of care for the diagnosis and management of AF, were selected. The outcome domain included measures on the consequences and treatment of AF, as well as PROMs. CONCLUSION:This document defines six domains of AF care (patient assessment, anticoagulation, rate control, rhythm control, risk factor management, and outcomes), and provides 17 main and 17 secondary QIs for the diagnosis and management of AF. It is anticipated that implementation of these QIs will improve the quality of AF care.

Item Type: Article
Uncontrolled Keywords: ESC Scientific Document Group
Depositing User: Symplectic Admin
Date Deposited: 14 Sep 2020 08:11
Last Modified: 18 Jan 2023 23:33
DOI: 10.1093/europace/euaa253
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URI: https://livrepository.liverpool.ac.uk/id/eprint/3101060
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