Integrated management of atrial fibrillation in primary care: results of the ALL-IN cluster randomized trial.

ABSTRACT:

Aims

To evaluate whether integrated care for atrial fibrillation (AF) can be safely orchestrated in primary care.

Methods and results

The ALL-IN trial was a cluster randomized, open-label, pragmatic non-inferiority trial performed in primary care practices in the Netherlands. We randomized 26 practices: 15 to the integrated care intervention and 11 to usual care. The integrated care intervention consisted of (i) quarterly AF check-ups by trained nurses in primary care, also focusing on possibly interfering comorbidities, (ii) monitoring of anticoagulation therapy in primary care, and finally (iii) easy-access availability of consultations from cardiologists and anticoagulation clinics. The primary endpoint was all-cause mortality during 2 years of follow-up. In the intervent

SUBMITTER: van den Dries CJ 

PROVIDER: S-EPMC7421774 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature