Arrhythmias & electrophysiologyRandomised controlled trial

Effect of targeted education of patients with atrial fibrillation on unplanned cardiovascular outcomes: results of the multicentre randomized AF-EduCare trial

EuropacePublished

  • Randomised controlled trial
  • multicentre

Authors' conclusion

AF-EduCare showed that intensive targeted patient education did not lead to less unplanned cardiovascular events in the AF patient population as a whole, although subgroups might benefit.

Study context

Population
Patients with atrial fibrillation (AF)follow-up 26.9 ± 9.4 months
Participants
1,038 patients
Comparison
Targeted patient education vs standard care
Primary endpoint
Composite of:
  • Cumulative unplanned CV hospitalizations and consultations
  • ED visits for CV reasons
  • CV death
Follow-up
Minimum 18 months

Primary result

As reported in the abstract

Each group vs SCHazard ratio (CI)P value
In-person education
1.02(0.91–1.14)
P = 0.80
Online education
1.18(0.95–1.46)
P = 0.65

Further findings

AF-related knowledge

Education (in-person and online) significantly improved AF-related knowledge vs standard care (SC)
P < 0.001

Primary outcome by subgroup (exploratory)

Heterogeneous effect over centres; positive impact of in-person education in asymptomatic AF, age ≤70 years and no history of HF
  • exploratory subgroup analyses

Original publication

Effect of targeted education of patients with atrial fibrillation on unplanned cardiovascular outcomes: results of the multicentre randomized AF-EduCare trial. Europace. Published 20 January 2025. doi:10.1093/europace/euae211

Summarised from the published abstract; every number is checked against it