Arrhythmias & electrophysiologyCohort study
Components of the Atrial fibrillation Better Care pathway for holistic care of patients with atrial fibrillation: a win ratio analysis from the COOL-AF registry
- Registry cohort study (win ratio analysis of the COOL-AF registry)
- hierarchical win ratio analysis
Authors' conclusion
Management of AF patients according to each component of the ABC pathway is associated with better clinical outcomes compared to those non-compliant to ABC pathway.
Study context
- Population
- AF patients in the COOL-AF registry, followed every 6 months until 3 years
- Participants
- 3,405 patients
- Exposure
- ABC-compliant vs ABC-not-compliant
- Outcome
- Clinical outcomes by compliance with each ABC pathway component, hierarchical win ratio
- Follow-up
- Until 3 years
Main finding
As reported in the abstract
Hierarchical composite (win ratio)
Each group vs ABC-not-compliantWin ratio (CI)P value
ABC-compliant
1.57(1.35–1.83)
P < 0.001ABC-compliantadding TTR data to compliant criteria for those on warfarin
2.28(1.89–2.75)
P < 0.001A-compliantplus TTR data; vs not compliant
1.81(1.51–2.12)
P < 0.001B-compliantvs not compliant
1.82(1.53–2.16)
P < 0.001C-compliantvs not compliant
1.39(1.18–1.62)
P < 0.001Observational data: associations, not effects.
Original publication
Components of the Atrial fibrillation Better Care pathway for holistic care of patients with atrial fibrillation: a win ratio analysis from the COOL-AF registry. Europace. Published 16 September 2024. doi:10.1093/europace/euae237
Summarised from the published abstract; every number is checked against it