Arrhythmias & electrophysiology
Impact of a clinical atrial fibrillation risk estimation tool on cardiac rhythm monitor utilization following acute ischemic stroke: A prepost clinical trial
Authors' conclusion
An embedded EHR tool displaying predicted AF risk in a poststroke setting had limited clinician engagement and predicted risk was not associated with the use of extended cardiac monitoring.
Study context
- Population
- Hospitalized ischemic stroke patients without known atrial fibrillation (AF)patients included
- Participants
- 805 patients
- Exposure
- Period with regards to incidence of extended cardiac monitoring
- Preinterventionn = 493reference
- Interventionn = 312
- Outcome
- BPA completion in the intervention cohort
Methodological detailsprospective
- Prospective
Main finding
As reported in the abstract
Intervention
58%
180 of 312
Observational data: associations, not effects.
Further findings
Association between predicted clinical risk of AF and incidence of extended cardiac monitoring, by time period · 6-month
| Interaction HR (95% CI) | ||
|---|---|---|
| Interaction (predicted AF risk × period)Not different by time period | 1.00 (0.98–1.02) | |
| 0.512Interaction HR (log scale) |
| Outcome | Adjusted HR (95% CI) | |
|---|---|---|
| Cumulative incidence of cardiac monitoringIncreased with intervention period | 1.32 (1.03–1.69) | |
| 0.512Adjusted hazard ratio (log scale) |
Original publication
Impact of a clinical atrial fibrillation risk estimation tool on cardiac rhythm monitor utilization following acute ischemic stroke: A prepost clinical trial. Am Heart J. Published 18 February 2025. doi:10.
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