Prehospital Atrial Fibrillation: Clinical and Economic Aspects

Objective: to retrospectively study the results of emergency medical care for patients with uncomplicated attacks of atrial fibrillation and to provide a clinical and economic assessment of their prehospital management tactics. Material and methods. A comparative retrospective study was conducted to...

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Main Authors: V. T. Dolgikh, V. G. Epifanov
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2012-10-01
Series:Общая реаниматология
Subjects:
Online Access:https://www.reanimatology.com/rmt/article/view/196
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author V. T. Dolgikh
V. G. Epifanov
author_facet V. T. Dolgikh
V. G. Epifanov
author_sort V. T. Dolgikh
collection DOAJ
description Objective: to retrospectively study the results of emergency medical care for patients with uncomplicated attacks of atrial fibrillation and to provide a clinical and economic assessment of their prehospital management tactics. Material and methods. A comparative retrospective study was conducted to examine the results of emergency medical care rendered to 1200 patients with uncomplicated atrial fibrillation attacks lasting as long as 24 hours. Ambulance call and outpatient cards and inpatient case reports were used. A clinical and economic assessment of the prehospital management tactics for the patients was made. Results. The prehospital therapy of atrial fibrillation was found to be ineffective in the first hour of observation. In more than 90% of cases, an atrial fibrillation attack was eliminated by the end of the first 24 hours regardless of which antiarrhythmic agent had been used. Conclusion. The proposed prehos-pital management tactics for patients with uncomplicated atrial fibrillation attacks lasting as long as 24 hours make it possible to decrease the length of stay of a called ambulance team and to enhance its efficiency, without reducing the clinical effect of performed antiarrhythmic therapy. Key words: atrial fibrillation, emergency medical care, prehospi-tal stage, clinical and economic analysis.
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spelling doaj.art-4d60a605310a460a9f2dc45ceae54c962023-03-13T09:32:52ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102012-10-018510.15360/1813-9779-2012-5-24196Prehospital Atrial Fibrillation: Clinical and Economic AspectsV. T. DolgikhV. G. EpifanovObjective: to retrospectively study the results of emergency medical care for patients with uncomplicated attacks of atrial fibrillation and to provide a clinical and economic assessment of their prehospital management tactics. Material and methods. A comparative retrospective study was conducted to examine the results of emergency medical care rendered to 1200 patients with uncomplicated atrial fibrillation attacks lasting as long as 24 hours. Ambulance call and outpatient cards and inpatient case reports were used. A clinical and economic assessment of the prehospital management tactics for the patients was made. Results. The prehospital therapy of atrial fibrillation was found to be ineffective in the first hour of observation. In more than 90% of cases, an atrial fibrillation attack was eliminated by the end of the first 24 hours regardless of which antiarrhythmic agent had been used. Conclusion. The proposed prehos-pital management tactics for patients with uncomplicated atrial fibrillation attacks lasting as long as 24 hours make it possible to decrease the length of stay of a called ambulance team and to enhance its efficiency, without reducing the clinical effect of performed antiarrhythmic therapy. Key words: atrial fibrillation, emergency medical care, prehospi-tal stage, clinical and economic analysis.https://www.reanimatology.com/rmt/article/view/196фибрилляция предсердийнеотложная медицинская помощьдогоспитальный этапклиникоэкономический анализ.
spellingShingle V. T. Dolgikh
V. G. Epifanov
Prehospital Atrial Fibrillation: Clinical and Economic Aspects
Общая реаниматология
фибрилляция предсердий
неотложная медицинская помощь
догоспитальный этап
клинико
экономический анализ.
title Prehospital Atrial Fibrillation: Clinical and Economic Aspects
title_full Prehospital Atrial Fibrillation: Clinical and Economic Aspects
title_fullStr Prehospital Atrial Fibrillation: Clinical and Economic Aspects
title_full_unstemmed Prehospital Atrial Fibrillation: Clinical and Economic Aspects
title_short Prehospital Atrial Fibrillation: Clinical and Economic Aspects
title_sort prehospital atrial fibrillation clinical and economic aspects
topic фибрилляция предсердий
неотложная медицинская помощь
догоспитальный этап
клинико
экономический анализ.
url https://www.reanimatology.com/rmt/article/view/196
work_keys_str_mv AT vtdolgikh prehospitalatrialfibrillationclinicalandeconomicaspects
AT vgepifanov prehospitalatrialfibrillationclinicalandeconomicaspects