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• W4313443816 abstract "Atrial fibrillation is a major cause of stroke, systemic embolism, and all-cause mortality. To evaluate the management of atrial fibrillation in the referral hospitals of the city of Yaoundé. We conducted a longitudinal descriptive study over an 8-month period from November 1, 2020, to July 1, 2021, in three referral hospitals (Centre Hospitalier et Universitaire, Hôpital Central de Yaoundé, and Hôpital Général de Yaoundé) in the city of Yaoundé. We included by a nonprobability consecutive sampling technique all the records of patients followed up in outpatient clinic for atrial fibrillation during the study period. Qualitative variables were presented as proportions and quantitative data as mean ± standard deviation or median with interquartile range according to the normality of the distribution of the variables. The association between population characteristics and quality of care was established using Student's parametric and ANOVA tests and the nonparametric Kruskal Wallis test for non-Gaussian distributions. The Fisher exact test was used to compare proportions. The significance level was set at a p value of 5%. We included a total of 60 patients out of 1570 records consulted in the cardiology departments of the 3 hospitals, with an average age of 72.4 ± 14 years (range 25 to 82 years). The sex ratio was 1.14, with a female predominance. Patients were most often in chronic AF, i.e., persistent in 73.3% and permanent in 26.7%. The median follow-up time since AF diagnosis was 19 months (IQR: 6–35.5). Adherence to the recommendations was average, with a strategy dominated by frequency control (85%), a low recourse to cardioversion (20%), and anticoagulation dominated by antivitamins K (46.7%). Although frequency control was excellent in the 92.15% of the population, almost half of the patients remained symptomatic, and cardioversion failure occurred in 83.3%. INR stability in patients on VKAs was generally low at 68%. The incidence of stroke during follow-up was 21.7%. None of the patient characteristics was associated with the quality of management (P > 0.05). The management of atrial fibrillation is suboptimal in our context, this result suggests a better awareness of cardiologists and a reinforcement of the technical platform to reduce the consequences of this pathology." @default.
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• W4313443816 date "2023-01-01" @default.
• W4313443816 modified "2023-10-18" @default.
• W4313443816 title "Evaluation of the management of atrial fibrillation in three referral hospitals in Yaoundé" @default.
• W4313443816 doi "https://doi.org/10.1016/j.acvdsp.2022.10.193" @default.
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