Remote Management of Atrial Fibrillation from a Virtual Ward

Abstract

This retrospective case series analyses the effectiveness of the Virtual Acute Care Unit (VACU) in managing patients with atrial fibrillation (AF). Data from 50 patients admitted to the VACU is presented focusing on changes in clinical parameters, medication usage, and patient outcomes. The median age of the patients was 76.5 years, with a gender distribution of 21 males to 29 females. Heart rate (HR) and blood pressure measurements were recorded on admission and discharge. Results showed a significant reduction in HR (mean admission HR: 97 bpm, mean discharge HR: 88 bpm, p=0.039), with no significant changes in blood pressure. The majority of patients (41) were managed with Bisoprolol. With a readmission rate of 12%, which is in keeping with NHS improvement guidance on ambulatory pathways, the potential of the VACU to improve patient outcomes and reduce healthcare costs is convincing.