Atrial fibrillation (AF) is the most common heart rhythm disease characterized by an irregular heart rhythm of the top part (atria) of the heart. It may cause unpleasant symptoms as well as increases the person's risk of stroke and heart failure. With an ageing population, increasing rates of AF and limited access to specialists, new methods of care, like nurse practitioners (NP) need to be assessed to meet patient specific needs and provide sustainable care. The objective of the project is to evaluate the effect of Nurse Practitioner-led care in people with AF on their quality of life. The Canadian Healthcare system is overwhelmed, with increasing costs and wait times. Contributing to these issues, is AF is the most common arrhythmia accompanied with costly complications including stroke and heart failure. Currently family or emergency room physicians ask general cardiologists or specialized cardiologists, to provide care to patients with AF. Unfortunately, there is limited access to their services. NP's are nurses who have taken extra education at University to treat patients and prescribe medications. This research project involves an NP who has specialized training in AF patient management. By utilizing an NP to provide care for patients with AF, the investigators hope to improve patient's quality of life and satisfaction with care. This may also reduce complications of AF.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
150
Diagnosis and treatment plan decisions will be determined by Nurse Practitioner Led-Care.
Diagnosis and treatment plan decisions will be determined as per usual care by the Cardiologist
Mazankowski Alberta Heart Institution
Edmonton, Alberta, Canada
Difference in change in Atrial Fibrillation Effect on Quality of Life (AFEQT) scores between groups
Time frame: At 6 months
Difference in change in EQ-5D scores between groups
Time frame: At 6 months
Difference in composite outcomes of death from cardiovascular causes, cardiovascular hospitalization and emergency room visits between groups
Time frame: At 6 months
Satisfaction with NP-led or cardiologist care as measured by the overall mean score of the Consultant Satisfaction Questionnaire (CSG).
Time frame: At 6 months
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