Beneficial effects of stroke-unit care in stroke patients with atrial fibrillation

Hye Yeon Choi, Joo Hyun Seo, Jae Hoon Yang, Young Dae Kim, Yo Han Jung, Han Jin Cho, Hyo Suk Nam, Ji Hoe Heo

Research output: Contribution to journalArticle

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Abstract

Purpose: Continuous cardiac monitoring in a stroke unit (SU) may improve detection of atrial fibrillation (AF), and SU care may improve the rate of anticoagulation by better adherence to a standardized treatment protocol in patients with AF. We investigated the effects of the SU on the detection of AF and the rate of warfarin therapy in patients with AF. Materials and Methods: Acute stroke patients who had been admitted before or after the opening of the SU were included in our study. SU patients were monitored continuously with electrocardiography. Rates of AF and warfarin therapy were compared between patients admitted to the SU (SU group) and those admitted to the general ward (GW) prior to the opening of the SU (GW group). Results: Total 951 patients had been admitted to the GW prior to the opening of the SU (from January 2000 to November 2002), and 2349 patients to the SU (from January 2003 to December 2008). AF was found in 149 patients (15.7%) in the GW group and in 487 (20.7%) in the SU group. Most of AF detected during admission was paroxysmal AF (84.8%). The frequency of newly detected AF was higher in the SU group than the GW group (2.5% vs. 0.7%, p=0.001). The rate of anticoagulation consideration was also higher in the SU group. Conclusion: SU care improved the detection of AF and the rate of anticoagulation consideration in acute stroke patients. Our findings support the benefits of continuous cardiac monitoring in the SU for stroke patients.

Original languageEnglish
Pages (from-to)301-305
Number of pages5
JournalYonsei medical journal
Volume54
Issue number2
DOIs
Publication statusPublished - 2013 Mar

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Atrial Fibrillation
Stroke
Patients' Rooms
Warfarin
Clinical Protocols

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Choi, Hye Yeon ; Seo, Joo Hyun ; Yang, Jae Hoon ; Kim, Young Dae ; Jung, Yo Han ; Cho, Han Jin ; Nam, Hyo Suk ; Heo, Ji Hoe. / Beneficial effects of stroke-unit care in stroke patients with atrial fibrillation. In: Yonsei medical journal. 2013 ; Vol. 54, No. 2. pp. 301-305.
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abstract = "Purpose: Continuous cardiac monitoring in a stroke unit (SU) may improve detection of atrial fibrillation (AF), and SU care may improve the rate of anticoagulation by better adherence to a standardized treatment protocol in patients with AF. We investigated the effects of the SU on the detection of AF and the rate of warfarin therapy in patients with AF. Materials and Methods: Acute stroke patients who had been admitted before or after the opening of the SU were included in our study. SU patients were monitored continuously with electrocardiography. Rates of AF and warfarin therapy were compared between patients admitted to the SU (SU group) and those admitted to the general ward (GW) prior to the opening of the SU (GW group). Results: Total 951 patients had been admitted to the GW prior to the opening of the SU (from January 2000 to November 2002), and 2349 patients to the SU (from January 2003 to December 2008). AF was found in 149 patients (15.7{\%}) in the GW group and in 487 (20.7{\%}) in the SU group. Most of AF detected during admission was paroxysmal AF (84.8{\%}). The frequency of newly detected AF was higher in the SU group than the GW group (2.5{\%} vs. 0.7{\%}, p=0.001). The rate of anticoagulation consideration was also higher in the SU group. Conclusion: SU care improved the detection of AF and the rate of anticoagulation consideration in acute stroke patients. Our findings support the benefits of continuous cardiac monitoring in the SU for stroke patients.",
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Choi, HY, Seo, JH, Yang, JH, Kim, YD, Jung, YH, Cho, HJ, Nam, HS & Heo, JH 2013, 'Beneficial effects of stroke-unit care in stroke patients with atrial fibrillation', Yonsei medical journal, vol. 54, no. 2, pp. 301-305. https://doi.org/10.3349/ymj.2013.54.2.301

Beneficial effects of stroke-unit care in stroke patients with atrial fibrillation. / Choi, Hye Yeon; Seo, Joo Hyun; Yang, Jae Hoon; Kim, Young Dae; Jung, Yo Han; Cho, Han Jin; Nam, Hyo Suk; Heo, Ji Hoe.

In: Yonsei medical journal, Vol. 54, No. 2, 03.2013, p. 301-305.

Research output: Contribution to journalArticle

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AU - Choi, Hye Yeon

AU - Seo, Joo Hyun

AU - Yang, Jae Hoon

AU - Kim, Young Dae

AU - Jung, Yo Han

AU - Cho, Han Jin

AU - Nam, Hyo Suk

AU - Heo, Ji Hoe

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N2 - Purpose: Continuous cardiac monitoring in a stroke unit (SU) may improve detection of atrial fibrillation (AF), and SU care may improve the rate of anticoagulation by better adherence to a standardized treatment protocol in patients with AF. We investigated the effects of the SU on the detection of AF and the rate of warfarin therapy in patients with AF. Materials and Methods: Acute stroke patients who had been admitted before or after the opening of the SU were included in our study. SU patients were monitored continuously with electrocardiography. Rates of AF and warfarin therapy were compared between patients admitted to the SU (SU group) and those admitted to the general ward (GW) prior to the opening of the SU (GW group). Results: Total 951 patients had been admitted to the GW prior to the opening of the SU (from January 2000 to November 2002), and 2349 patients to the SU (from January 2003 to December 2008). AF was found in 149 patients (15.7%) in the GW group and in 487 (20.7%) in the SU group. Most of AF detected during admission was paroxysmal AF (84.8%). The frequency of newly detected AF was higher in the SU group than the GW group (2.5% vs. 0.7%, p=0.001). The rate of anticoagulation consideration was also higher in the SU group. Conclusion: SU care improved the detection of AF and the rate of anticoagulation consideration in acute stroke patients. Our findings support the benefits of continuous cardiac monitoring in the SU for stroke patients.

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