Table 3. Characteristics of cohort studies implementing pharmacist-led symptom management interventions for atrial fibrillation.
Author (study name), year, country Study setting (n) Intervention/controlaSample sizebAge (median [IQR], or mean ± SD)cProportion of females, n (%) Description of intervention and control (where applicable) Main outcomes of intervention
Labreck, 2021, USA49 Antiarrhythmic clinic (1) a12/9
b†
c3 (25%)/4 (44.5%)
Pharmacy-led outpatient clinic using the AliveCor Kardia Mobile ECG to deliver sotalol loading (electrophysiologist oversight) vs. inpatient sotalol loading (control) Inpatients administered 120mg twice daily, 88.3% outpatients received this dose (three received different doses at electrophysiologist discretion (n=2), or because of prolonged baseline QT interval (n=1)
Finks, 2011, USA48 Hospital (1) a36
b75 ± 8.9 dose appropriate or accepted dose adjustment, 78 ± 7.6 partial dose adjustment or no adjustment
c†
Pharmacist assessment of sotalol prescribing for atrial fibrillation patients according to renal function, physician prescribing recommendations made when appropriate Pharmacist recommendation of drug discontinuation/ dose amendment in 32/36, accepted for 12/32 (appropriate therapy) but not for 20/32 (inappropriate therapy), no effect on all-cause hospital re-admission rates at six months for patients on appropriate therapy (31% vs. 55%, p=0.095)
ECG, electrocardiogram
available as abstract only
not reported