There Are Sex Differences in the Demographics and Risk Profiles of Emergency Department (ED ) Patients With Atrial Fibrillation and Flutter, but no Apparent Differences in ED Management or Outcomes
Article Swipe
Frank Scheuermeyer
,
Martha Mackay
,
Jim Christenson
,
Eric Grafstein
,
Reza Pourvali
,
Claire Heslop
,
Jan MacPhee
,
John Ward
,
Brett Heilbron
,
Lorraine McGrath
,
Karin H. Humphries
·
YOU?
·
· 2015
· Open Access
·
· DOI: https://doi.org/10.1111/acem.12750
YOU?
·
· 2015
· Open Access
·
· DOI: https://doi.org/10.1111/acem.12750
Objectives In non–emergency department ( ED ) settings, women with atrial fibrillation and flutter ( AFF ) have different presentations, treatments, and outcomes than men: they are older, less likely to be treated with rhythm control strategies or appropriate anticoagulation, and more likely to have strokes. This has not been investigated in ED patients. Methods Records from consecutive ED patients from January 1 to December 31, 2009, with electrocardiogram‐proven AFF at two urban hospitals were collected. Review of administrative and clinical data identified patient demographics, clinical characteristics, comorbidities, and ED treatments. The regional ED database was queried to determine 30‐day and 1‐year follow‐up visits, and the provincial vital statistics database was referenced to obtain 30‐day and 1‐year mortality; all outcomes were stratified by sex. The primary outcome, which reflected overall appropriateness of ED care, was the proportion of patients who were discharged home at their index ED visits, who then had unscheduled 30‐day ED revisits. Secondary outcomes included the proportion of eligible patients who underwent acute rhythm control strategies and the proportion of high‐risk patients who had previously inadequately anticoagulation strategies corrected by the emergency physician. Additional outcomes included the ED length of stay ( LOS ) and 30‐day and 1‐year rates of stroke and death. Results A total of 1,112 records were reviewed: 470 women (42.3%) and 642 men. Women were a median 8 years (interquartile range = 3 to 13 years) older than men, had higher rates of cardiovascular comorbidities, and were more likely to present with atypical symptoms such as weakness or dyspnea. On their index ED visits, 50.2% of women and 41.3% of men were admitted. At 30 days, 39 of 234 (16.7%) women and 55 of 377 (14.6%) men who were discharged at their index ED visits had made revisits, for a risk difference of 2.1% (95% confidence interval = –3.9% to 8.5%). There were no apparent sex differences in the use of acute rhythm control or in the appropriateness of anticoagulation decisions. ED LOS was similar between women and men, as were 30‐day and 1‐year stroke or death rates. Conclusions Female ED AFF patients were older, had more comorbidities, and were more likely to be admitted. However, the overall management and outcomes, including 30‐day revisits, appeared to be similar to that of males, indicating that there appeared to be little sex‐based discrepancy in ED care and outcomes.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/acem.12750
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/acem.12750
- OA Status
- bronze
- Cited By
- 46
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2157193283
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2157193283Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/acem.12750Digital Object Identifier
- Title
-
There Are Sex Differences in the Demographics and Risk Profiles of Emergency Department (
ED ) Patients With Atrial Fibrillation and Flutter, but no Apparent Differences inED Management or OutcomesWork title - Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2015Year of publication
- Publication date
-
2015-08-20Full publication date if available
- Authors
-
Frank Scheuermeyer, Martha Mackay, Jim Christenson, Eric Grafstein, Reza Pourvali, Claire Heslop, Jan MacPhee, John Ward, Brett Heilbron, Lorraine McGrath, Karin H. HumphriesList of authors in order
- Landing page
-
https://doi.org/10.1111/acem.12750Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/acem.12750Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/acem.12750Direct OA link when available
- Concepts
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Medicine, Interquartile range, Emergency department, Atrial fibrillation, Atrial flutter, Demographics, Emergency medicine, Stroke (engine), Pediatrics, Internal medicine, Demography, Psychiatry, Sociology, Mechanical engineering, EngineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
46Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 5, 2024: 6, 2023: 9, 2022: 5, 2021: 2Per-year citation counts (last 5 years)
- References (count)
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23Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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