Profile of atrial fibrillation inpatients: Cardiovascular risk factors and cardiac rehabilitation programme delivery and referral patterns
Atrial fibrillation (AF) is increasingly common; however, the cardiovascular risk factor profile and the patterns of delivery and referral to cardiac rehabilitation (CR) in this population are poorly described. We conducted an audit of medical records (n = 145) of patients admitted with AF in one lo...
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| Veröffentlicht in: | International journal of nursing practice 2015-12, Vol.21 (6), p.749-755 |
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| container_title | International journal of nursing practice |
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| creator | Gallagher, Robyn Zhang, Ling Roach, Kellie Sadler, Leonie Belshaw, Julie Kirkness, Ann Proctor, Ross Neubeck, Lis |
| description | Atrial fibrillation (AF) is increasingly common; however, the cardiovascular risk factor profile and the patterns of delivery and referral to cardiac rehabilitation (CR) in this population are poorly described. We conducted an audit of medical records (n = 145) of patients admitted with AF in one local health district in Sydney, Australia. Patients were aged a mean 72 years, and 51% were male. Lack of risk factor documentation was common. Despite this, 65% had two or more modifiable cardiovascular risk factors, including hypertension (63%) and hypercholesterolaemia (52%). Referral to Phase II CR occurred for 25% and was decreased with permanent AF diagnosis and increased with more risk factors. AF patients admitted to hospital have multiple cardiovascular risk factors but limited risk factor screening and/or referral to outpatient CR programmes. |
| doi_str_mv | 10.1111/ijn.12337 |
| format | Article |
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We conducted an audit of medical records (n = 145) of patients admitted with AF in one local health district in Sydney, Australia. Patients were aged a mean 72 years, and 51% were male. Lack of risk factor documentation was common. Despite this, 65% had two or more modifiable cardiovascular risk factors, including hypertension (63%) and hypercholesterolaemia (52%). Referral to Phase II CR occurred for 25% and was decreased with permanent AF diagnosis and increased with more risk factors. AF patients admitted to hospital have multiple cardiovascular risk factors but limited risk factor screening and/or referral to outpatient CR programmes.</description><identifier>ISSN: 1322-7114</identifier><identifier>EISSN: 1440-172X</identifier><identifier>DOI: 10.1111/ijn.12337</identifier><identifier>PMID: 25307879</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Atrial fibrillation ; Atrial Fibrillation - complications ; Atrial Fibrillation - rehabilitation ; Australia ; Cardiac arrhythmia ; Cardiac Rehabilitation ; Cardiovascular disease ; Cardiovascular diseases ; cardiovascular risk factors ; Diagnosis ; Female ; Hospitalization ; Humans ; Hypercholesterolaemia ; Hypertension ; Male ; Medical records ; Medical screening ; Middle Aged ; Nursing ; Referral and Consultation ; Rehabilitation ; Retrospective Studies ; Risk Factors ; Screening</subject><ispartof>International journal of nursing practice, 2015-12, Vol.21 (6), p.749-755</ispartof><rights>2014 Wiley Publishing Asia Pty Ltd</rights><rights>2014 Wiley Publishing Asia Pty Ltd.</rights><rights>Copyright © 2015 Wiley Publishing Asia Pty Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4247-74703bf5ffb3bda786b90f93354ba8f0b76329bf0648de55ec49734faa3a0a9f3</citedby><cites>FETCH-LOGICAL-c4247-74703bf5ffb3bda786b90f93354ba8f0b76329bf0648de55ec49734faa3a0a9f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijn.12337$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijn.12337$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,31004,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25307879$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gallagher, Robyn</creatorcontrib><creatorcontrib>Zhang, Ling</creatorcontrib><creatorcontrib>Roach, Kellie</creatorcontrib><creatorcontrib>Sadler, Leonie</creatorcontrib><creatorcontrib>Belshaw, Julie</creatorcontrib><creatorcontrib>Kirkness, Ann</creatorcontrib><creatorcontrib>Proctor, Ross</creatorcontrib><creatorcontrib>Neubeck, Lis</creatorcontrib><title>Profile of atrial fibrillation inpatients: Cardiovascular risk factors and cardiac rehabilitation programme delivery and referral patterns</title><title>International journal of nursing practice</title><addtitle>Int J Nurs Pract</addtitle><description>Atrial fibrillation (AF) is increasingly common; however, the cardiovascular risk factor profile and the patterns of delivery and referral to cardiac rehabilitation (CR) in this population are poorly described. We conducted an audit of medical records (n = 145) of patients admitted with AF in one local health district in Sydney, Australia. Patients were aged a mean 72 years, and 51% were male. Lack of risk factor documentation was common. Despite this, 65% had two or more modifiable cardiovascular risk factors, including hypertension (63%) and hypercholesterolaemia (52%). Referral to Phase II CR occurred for 25% and was decreased with permanent AF diagnosis and increased with more risk factors. AF patients admitted to hospital have multiple cardiovascular risk factors but limited risk factor screening and/or referral to outpatient CR programmes.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Atrial fibrillation</subject><subject>Atrial Fibrillation - complications</subject><subject>Atrial Fibrillation - rehabilitation</subject><subject>Australia</subject><subject>Cardiac arrhythmia</subject><subject>Cardiac Rehabilitation</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>cardiovascular risk factors</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Hypercholesterolaemia</subject><subject>Hypertension</subject><subject>Male</subject><subject>Medical records</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Referral and Consultation</subject><subject>Rehabilitation</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Screening</subject><issn>1322-7114</issn><issn>1440-172X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkU1v1DAQhiMEoh9w4A8gS1zgkNZfiRNu3RVdSqvCga-bNU5s8DaJl3FS2L_Ar8bbtD0gIeHLjDzPvOPxm2XPGD1i6Rz79XDEuBDqQbbPpKQ5U_zrw5QLznPFmNzLDmJcU5ouWPE42-OFoKpS9X72-wMG5ztLgiMwooeOOG_Qdx2MPgzED5uU2GGMr8kSsPXhGmIzdYAEfbwiDpoxYCQwtKTZ1aEhaL-D8Z0fZ4kNhm8IfW9Jazt_bXF7Q6N1FjHNSwNGi0N8kj1y0EX79DYeZp9O33xcvs0v3q_OlicXeSO5VLmSigrjCueMMC2oqjQ1dbUQhTRQOWpUKXhtHC1l1dqisI2slZAOQACF2onD7OWsmx72Y7Jx1L2PjU0bDzZMUTOlmBKclvQ_0JLXpSppmdAXf6HrMOGQFtlRFeVFwUSiXs1UgyHG9AV6g74H3GpG9c5LnbzUN14m9vmt4mR6296Td-Yl4HgGfiYDt_9W0mfvLu8k87nDx9H-uu8AvNKlEqrQXy5XerH4vFqc17U-F38ADo-53g</recordid><startdate>201512</startdate><enddate>201512</enddate><creator>Gallagher, Robyn</creator><creator>Zhang, Ling</creator><creator>Roach, Kellie</creator><creator>Sadler, Leonie</creator><creator>Belshaw, Julie</creator><creator>Kirkness, Ann</creator><creator>Proctor, Ross</creator><creator>Neubeck, Lis</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201512</creationdate><title>Profile of atrial fibrillation inpatients: Cardiovascular risk factors and cardiac rehabilitation programme delivery and referral patterns</title><author>Gallagher, Robyn ; Zhang, Ling ; Roach, Kellie ; Sadler, Leonie ; Belshaw, Julie ; Kirkness, Ann ; Proctor, Ross ; Neubeck, Lis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4247-74703bf5ffb3bda786b90f93354ba8f0b76329bf0648de55ec49734faa3a0a9f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Atrial fibrillation</topic><topic>Atrial Fibrillation - complications</topic><topic>Atrial Fibrillation - rehabilitation</topic><topic>Australia</topic><topic>Cardiac arrhythmia</topic><topic>Cardiac Rehabilitation</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>cardiovascular risk factors</topic><topic>Diagnosis</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Hypercholesterolaemia</topic><topic>Hypertension</topic><topic>Male</topic><topic>Medical records</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Referral and Consultation</topic><topic>Rehabilitation</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Screening</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gallagher, Robyn</creatorcontrib><creatorcontrib>Zhang, Ling</creatorcontrib><creatorcontrib>Roach, Kellie</creatorcontrib><creatorcontrib>Sadler, Leonie</creatorcontrib><creatorcontrib>Belshaw, Julie</creatorcontrib><creatorcontrib>Kirkness, Ann</creatorcontrib><creatorcontrib>Proctor, Ross</creatorcontrib><creatorcontrib>Neubeck, Lis</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of nursing practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gallagher, Robyn</au><au>Zhang, Ling</au><au>Roach, Kellie</au><au>Sadler, Leonie</au><au>Belshaw, Julie</au><au>Kirkness, Ann</au><au>Proctor, Ross</au><au>Neubeck, Lis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Profile of atrial fibrillation inpatients: Cardiovascular risk factors and cardiac rehabilitation programme delivery and referral patterns</atitle><jtitle>International journal of nursing practice</jtitle><addtitle>Int J Nurs Pract</addtitle><date>2015-12</date><risdate>2015</risdate><volume>21</volume><issue>6</issue><spage>749</spage><epage>755</epage><pages>749-755</pages><issn>1322-7114</issn><eissn>1440-172X</eissn><abstract>Atrial fibrillation (AF) is increasingly common; however, the cardiovascular risk factor profile and the patterns of delivery and referral to cardiac rehabilitation (CR) in this population are poorly described. We conducted an audit of medical records (n = 145) of patients admitted with AF in one local health district in Sydney, Australia. Patients were aged a mean 72 years, and 51% were male. Lack of risk factor documentation was common. Despite this, 65% had two or more modifiable cardiovascular risk factors, including hypertension (63%) and hypercholesterolaemia (52%). Referral to Phase II CR occurred for 25% and was decreased with permanent AF diagnosis and increased with more risk factors. AF patients admitted to hospital have multiple cardiovascular risk factors but limited risk factor screening and/or referral to outpatient CR programmes.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>25307879</pmid><doi>10.1111/ijn.12337</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Atrial fibrillation Atrial Fibrillation - complications Atrial Fibrillation - rehabilitation Australia Cardiac arrhythmia Cardiac Rehabilitation Cardiovascular disease Cardiovascular diseases cardiovascular risk factors Diagnosis Female Hospitalization Humans Hypercholesterolaemia Hypertension Male Medical records Medical screening Middle Aged Nursing Referral and Consultation Rehabilitation Retrospective Studies Risk Factors Screening |
| title | Profile of atrial fibrillation inpatients: Cardiovascular risk factors and cardiac rehabilitation programme delivery and referral patterns |
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