• Emmanuel Giménez-García, Josep Lluís Clua-Espuny, Ramón Bosch-Príncep, Carlos López-Pablo, Iñigo Lechuga-Durán, Miquel Gallofré-López, Anna Panisello-Tafalla, Jorgina Lucas-Noll, and Maria Lluisa Queralt-Tomas.
• Antares Consulting HEOR, España.
• Aten Primaria. 2014 Feb 1; 46 (2): 58-67.

AimTo provide insights into the characteristics and management of outpatients when their atrial fibrillation (AF) was first detected: diagnosis, treatment and follow-up in the context of the public health system.DesignAFABE is an observational, multicentre descriptive study with retrospective data collection relating to the practice patterns, management and initial strategies of treatment of patients with diagnosed AF in the context of primary care, emergency and cardiologists of the public health system.SettingPrimary and Specialist care. Baix Ebre region. Tarragona. Spain.SubjectsA representative sample of 182 subjects > 60-year-old with AF who have been randomized, recruited among the registered patients with AF in 22 primary care centres in the area of the study.MesurementsDemographic data, comorbidities (AF), CHA2DS2-VASc and HAS_BLED scores, and practice patterns results between Primary Care and referral services.ResultsA total of 182 patients were included (mean age 78.5 SD:7.3 years; 50% women). Most patients (68.3% 95%CI; 60.3-76.3) had the first contact in Primary Care, of which 56.3% (95%CI; 45.2-66.0) were sent to Hospital Emergency Department where 72.7% (95%CI: 63.5-79.0) of the oral anticoagulation and 58.4% (95%CI: 49.4-66.9) of antiarrhytmic treatments were started. More than half (55.9%:95%CI; 47.2-64.7, of patients with permanent AF were followed-up by the Cardiology department.ConclusionsMost patients with newly diagnosed AF made a first contact with Primary Care, but around half were sent to Hospital Emergency departments, where they were treated with an antiarrhythmic and/or oral anticoagulation.Copyright © 2013 Elsevier España, S.L. All rights reserved.

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