Arrhythmias & electrophysiology

Design and deployment of the STEEER-AF trial to evaluate and improve guideline adherence: a cluster-randomized trial by the European Society of Cardiology and European Heart Rhythm Association

EuropacePublished Design and baseline characteristics of the STEEER-AF cluster-randomised trial

Authors' conclusion

The STEEER-AF trial was successfully deployed across six European countries to investigate guideline adherence in real-world practice and evaluate if a structured educational programme for healthcare professionals can improve patient-level care.

Study context

Population
Patients with atrial fibrillation (AF) in routine practice, France, Germany, Italy, Poland, Spain and UK, 2022–23
Participants
1,732 patients70 centres
Comparison
Targeted educational programme for healthcare professionals vs no programme
Methodological detailspragmatic, 70 centres in 6 European countries
  • Pragmatic
  • 70 centres in 6 European countries

Primary result

As reported in the abstract

Baseline characteristics · enrolment
Age, mean (SD 11.7)
68.9 years
CHA2DS2-VASc score, mean (SD 1.8)
3.2
Women
647 (37%)
In AF at enrolment
843 (49%)
In sinus rhythm
760 (44%)
OAC prescribed
1543 (89%)
DOAC (of OAC)
1378; 89%
Previous cardioversion, antiarrhythmic drug or ablation
836 (48.3%)
Currently receiving antiarrhythmic drug
551 (31.8%)
Scheduled for future cardioversion or ablation
446 (25.8%)
Healthcare professionals engaged in educational programme
195

Original publication

Design and deployment of the STEEER-AF trial to evaluate and improve guideline adherence: a cluster-randomized trial by the European Society of Cardiology and European Heart Rhythm Association. Europace. Published 28 June 2024. doi:10.1093/europace/euae178

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