Clinical Decision Support for Atrial Fibrillation and Flutter
Public ClinicalTrials.gov record NCT05009225. Field values are reproduced from the official study page; the official ClinicalTrials.gov record remains the source of truth for eligibility, enrollment, and contact information.
Data is sourced from official ClinicalTrials.gov public API records. Always review the official ClinicalTrials.gov record for the latest information.
Official title
Reducing Variation in Hospitalization and Processes of Care in Emergency Department Patients With Atrial Fibrillation: A Stepped Wedge Cluster Randomized Trial
Brief summary
Reproduced verbatim from the official ClinicalTrials.gov record. Not medical advice.
Atrial fibrillation (AF) is a major public health problem: it impairs quality of life and independently heightens the risks of ischemic stroke, heart failure and all-cause mortality. AF is a common reason for presenting to emergency departments (ED) in Kaiser Permanente Northern California (KPNC) and is associated with frequent hospitalization. Additionally, inter-facility hospitalization rates for AF vary across KPNC. Improvements in modifiable components of ED AF care could potentially reduce low-yield hospitalizations and the associated costs, patient inconveniences, and complications that can ensue. Real-time clinical decision support systems (CDSS) can transform entrenched physician practices and improve patient outcomes. The investigators will conduct a stepped-wedge cluster randomized trial of a CDSS intervention across 13 KPNC EDs for the comprehensive management of acute AF with the following three aims: 1) To evaluate the impact of the CDSS intervention on index hospitalization rates; 2) To evaluate the impact of the CDSS intervention on ED AF rate and rhythm control process-of-care metrics; and 3) To evaluate the impact of the CDSS intervention on AF stroke prevention actions for eligible participants at the time of ED discharge. The investigators hypothesize that the CDSS intervention will safely reduce index hospitalization rates, improve rate and rhythm control process-of-care metrics, and increase stroke prevention actions for eligible participants at ED discharge and within 30 days.
Study identification
- NCT ID
- NCT05009225
- Recruitment status
- Not listed
- Study type
- Observational
- Phase
- Not listed
- Enrollment
- 4,000 participants
Conditions and interventions
Conditions
Eligibility (public fields only)
- Age range
- 18 Years and older
- Sex
- All
- Healthy volunteers
- Healthy volunteers not accepted
This page does not interpret eligibility. Detailed inclusion and exclusion criteria are on the official ClinicalTrials.gov record.
Study timeline
- Start date
- Oct 1, 2021 (Actual)
- Primary completion
- Apr 30, 2023 (Actual)
- Completion
- Jun 30, 2024 (Estimated)
- Last update posted
- Mar 6, 2024
2021 – 2024
United States locations
- U.S. sites
- 16
- U.S. states
- 1
- U.S. cities
- 15
| Facility | City | State | ZIP | Site status |
|---|---|---|---|---|
| Kaiser Permanente Antioch Emergency Department | Antioch | California | 94531 | — |
| Kaiser Permanente Fremont Emergency Department | Fremont | California | 94538 | — |
| Kaiser Permanente Manteca Medical Center | Manteca | California | 95337 | — |
| Kaiser Permanente Modesto Medical Center | Modesto | California | 95356 | — |
| Kaiser Permanente Oakland Emergency Department | Oakland | California | 94611 | — |
| Kaiser Permanente Richmond Emergency Department | Richmond | California | 94801 | — |
| Kaiser Permanente Roseville Emergency Department | Roseville | California | 95661 | — |
| Kaiser Permanente South Sacramento Emergency Department | Sacramento | California | 95823 | — |
| Kaiser Permanente Sacramento Emergency Department | Sacramento | California | 95825 | — |
| Kaiser Permanente San Francisco Emergency Department | San Francisco | California | 94115 | — |
| Kaiser Permanente San Jose Emergency Department | San Jose | California | 95119 | — |
| Kaiser Permanente San Leandro Emergency Department | San Leandro | California | 94577 | — |
| Kaiser Permanente San Rafael Emergency Department | San Rafael | California | 94903 | — |
| Kaiser Permanente Santa Clara Emergency Department | Santa Clara | California | 95051 | — |
| Kaiser Permanente South San Francisco Emergency Department | South San Francisco | California | 94080 | — |
| Kaiser Permanente Walnut Creek Medical Center | Walnut Creek | California | 94596 | — |
Site contact phone numbers, emails, and investigator names are intentionally not displayed here. Open the official ClinicalTrials.gov record for site contact information.
About this trial record page
- What this page shows
- Public field values for ClinicalTrials.gov record NCT05009225, including study identification, conditions, interventions, eligibility (age, sex, healthy volunteer), timeline, and U.S. site list.
- What this page does not do
- No medical advice, eligibility judgments, treatment recommendations, study quality scoring, or AI-generated medical summaries. No site contact phone numbers, emails, or investigator names.
- Where the data comes from
- Sourced from the official ClinicalTrials.gov public API. The official record is the source of truth.
- Last refresh
- Last update posted Mar 6, 2024 · Synced Oct 24, 2026
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Open the official record
The complete public registry record, listed eligibility criteria, and available contact information for NCT05009225 live on ClinicalTrials.gov.