Arrhythmias & electrophysiology

Nurse-led care after ablation of atrial fibrillation: a randomized controlled trial

Eur J Prev CardiolPublished Randomised controlled trial

Authors' conclusion

Adding APN-led care after ablation of AF improves short-term clinical outcome, patient satisfaction and physical activity and decreases alcohol intake.

Study context

Population
Patients undergoing AF ablation
Participants
65 patients
Comparison
Advanced practitioner nurse (APN)-led care plus usual care vs usual care after AF ablation
  • Interventionn = 32
  • Usual caren = 33reference
Primary endpoint
AF recurrence rate
Follow-up
6-month follow-up

Primary result

As reported in the abstract

AF recurrence · 6 months

P = 0.014

Secondary outcomes

OutcomeInterventionUsual careExp(B)P value
Patient satisfaction9.48.7P < 0.001
AF knowledge (out of 10)8.67.0P < 0.001
Protective factor for AF recurrence (multivariable-adjusted)Only protective factor0.299P = 0.04
  • AF knowledge (out of 10): Already higher with intervention at 1 month (8.6 vs. 7, P = 0.001)

Alcohol intake, within intervention group

Decreased from 3.9 to 2.6 units per week
P = 0.031

Physical activity, within intervention group

Increased from 224.4 ± 210.7 to 283.8 ± 169.3
P = 0.048

Lifestyle factors, within usual care group

No changes occurred

Original publication

Nurse-led care after ablation of atrial fibrillation: a randomized controlled trial. Eur J Prev Cardiol. Published 17 April 2023. doi:10.1093/eurjpc/zwad117

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