Arrhythmias & electrophysiologyRandomised controlled trial
Nurse-led care after ablation of atrial fibrillation: a randomized controlled trial
- 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
- Sixty-five 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
| Outcome | Intervention | Usual care | Exp(B) | P value |
|---|---|---|---|---|
| Patient satisfaction | 9.4 | 8.7 | P < 0.001 | |
| AF knowledge (out of 10) | 8.6 | 7.0 | P < 0.001 | |
| Protective factor for AF recurrence (multivariable-adjusted) · only protective factor | 0.299 | P = 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
Summarised from the published abstract; every number is checked against it