title: One-Year Outcomes of Emergency Department Patients With Atrial Fibrillation: A Prospective, Multicenter Registry in China.
abstract: There is lack of data about patient characteristics, practice patterns, and long-term adverse outcomes in patients with atrial fibrillation (AF) attending emergency departments (EDs) in China. A total of 2016 patients from 20 representative EDs were included. During 1 year, all-cause mortality was 291 (14.6%) cases, stroke/noncentral nervous system systemic embolism rate was 159 (8.0%) cases, and major bleeding was 26 (1.3%) cases. Heart failure, the major cause of mortality, accounted for 43.0% of deaths. Of 375 (18.6%) patients who used warfarin at baseline, only 217 (57.9%) patients were still on anticoagulation therapy during 1-year follow-up. Compared with the patients who continued on warfarin, the mortality rate was higher in those who did not continue (15.9% vs 5.5%, P < .001). Patients seen in ED with AF appear to have a high incidence rate of long-term all-cause mortality and inadequate anticoagulation rate.
authors.affiliation: Emergency and Intensive Care Center, Fuwai Hospital, Chinese Academy Of Medical Sciences and Peking Union Medical College, Beijing, China.
authors.forename: Yan-Min
authors.initials: YM
authors.lastname: Yang
authors.affiliation: Emergency and Intensive Care Center, Fuwai Hospital, Chinese Academy Of Medical Sciences and Peking Union Medical College, Beijing, China.
authors.forename: Xing-Hui
authors.initials: XH
authors.lastname: Shao
authors.affiliation: Emergency and Intensive Care Center, Fuwai Hospital, Chinese Academy Of Medical Sciences and Peking Union Medical College, Beijing, China junzhuld@hotmail.com.
authors.forename: Jun
authors.initials: J
authors.lastname: Zhu
authors.affiliation: Emergency and Intensive Care Center, Fuwai Hospital, Chinese Academy Of Medical Sciences and Peking Union Medical College, Beijing, China.
authors.forename: Han
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Emergency and Intensive Care Center, Fuwai Hospital, Chinese Academy Of Medical Sciences and Peking Union Medical College, Beijing, China.
authors.forename: Yao
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Emergency and Intensive Care Center, Fuwai Hospital, Chinese Academy Of Medical Sciences and Peking Union Medical College, Beijing, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Gao
authors.affiliation: Emergency and Intensive Care Center, Fuwai Hospital, Chinese Academy Of Medical Sciences and Peking Union Medical College, Beijing, China.
authors.forename: Li-Tian
authors.initials: LT
authors.lastname: Yu
authors.affiliation: Emergency and Intensive Care Center, Fuwai Hospital, Chinese Academy Of Medical Sciences and Peking Union Medical College, Beijing, China.
authors.forename: Li-Sheng
authors.initials: LS
authors.lastname: Liu
authors.affiliation: Department of Emergency, Fu Xing Hospital, Capital Medical University, Beijing, China.
authors.forename: Li
authors.initials: L
authors.lastname: Zhao
authors.affiliation: Department of Cardiology, Pingdu People's Hospital, Pingdu, Shandong, China.
authors.forename: Peng-Fei
authors.initials: PF
authors.lastname: Yu
authors.affiliation: Department of Emergency, Qingdao Municipal Hospital, Qingdao, Shandong, China.
authors.forename: Hua
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Department of Emergency, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
authors.forename: Qing
authors.initials: Q
authors.lastname: He
authors.affiliation: Department of Emergency, Sixth People's Hospital of Chengdu, Chengdu, Sichuan, China.
authors.forename: Xiao-Dan
authors.initials: XD
authors.lastname: Gu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000627:therapeutic use*; D001281:Atrial Fibrillation / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy* / Q000401:mortality; D002423:Cause of Death; D002681:China; D004636:Emergency Service, Hospital; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012042:Registries; D012307:Risk Factors; D020521:Stroke / Q000209:etiology / Q000401:mortality / Q000517:prevention & control*; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants
keywords: China; anticoagulation; atrial fibrillation; long-time outcome