Design and deployment of the STEEER-AF trial to evaluate and improve guideline adherence: a cluster-randomized trial by the European Society of Cardiology and European Heart Rhythm Association

• DOI: 10.1093/europace/euae178
• Publication Date: 2024-06-28T13:11:21Z
• Authors: Maciej Sterliński; Karina V Bunting; Giuseppe Boriani; Serge Boveda; Eduard Guasch; Lluís Mont; Kim Rajappan; Philipp Sommer; Samir Mehta; Yongzhong Sun; Chris P Gale; Colinda van Deutekom; Isabelle C Van Ge...; Dipak Kotecha; ; Yann Allali; Asgher Champsi; Thomas Deneke; Kaitlyn Greeley; Benoît Guy-Moyat; Mikael Laredo; Alastair Mobley; Maximina Ventura; Mary Stanbury; Trudie Lobban; Thompson Robinson; Tatjana Potpara; Eloi Marijon; Pascal Defaye; Pierre Baudinaud; Simon Kochhaeuser; Ursula Rauch; Moritz F Sinner; Marco Proietti; Igor Diemberger; Vincenzo Russo; Stanislaw Tubek; Piotr Buchta; Pawel Balsam; Eusebio García-Iz...; Ivo Roca Luque; Jose M Guerra; Dewi Thomas; Afzal Sohaib; Mark J Davies; Olivier Piot; William Escande; Christian De Chillou; Maxime De Guillebon; Frédéric Anselme; Andrea Cianci; Rodrigue Garcia; Philippe Maury; Dominique Pavin; Estelle Gandjbakhch; Frédéric Sacher; Karim Hasni; Fabien Garnier; Charles Guenancia; Nicolas Lellouche; Stephan Willems; Martin Borlich; Andreas Metzner; Hans-Holger Ebert; Dong-In Shin; David Duncker; Stefan G Spitzer; Peter Nordbeck; Roland R Tilz; Andrea Mazza; Cinzia Valzania; Margherita Padeletti; Matteo Bertini; Giuseppe Boriani; Jacopo F Imberti; Stefano Fumagalli; Antonio Rapacciuolo; Monika Lica Gorzy...; Adam Gorlo; Marcin Kostkiewicz; Grzegorz Sobieszek; Andrzej S Skrzyński; Robert Gajda; Hanna Wilk-Manowiec; Jaroslaw Blicharz; Wiktor K Gmiński; Tomasz Czerski; Felipe Bisbal; Ignasi Anguera; Teresa Lozano; Joaquin Osca; Jose L Merino; Naiara Calvo; Juan Fernández-Ar...; Juan Acosta; Nuria Rivas-Gandara; Pilar Cabanas; Emilce Trucco; Richard Bond; Richard Ang; Shawn A A Morais; Fu Siong Ng; Mattew G D Bates; Michala Pedersen; Daniel T Raine; Manish Kalla; Matthew J Lovell; Malcolm Finlay; Arif Hasan Bhuiyan; Norman Qureshi; Hein Heidbuchel; Wolfram Döhner; Bernard Iung; Susanna Price; Helmut Pürerfellner; Barbara Casadei; Paulus Kirchhof; Alex R Lyon; Winston Banya; Robert Hatala; Pekka Raatikainen
• Keywords: Guideline; Heart Rhythm

Abstract Aims The aim is to describe the rationale, design, delivery, and baseline characteristics of Stroke prevention rhythm control Treatment: Evaluation an Educational programme European society cardiology in a cluster-Randomized trial patients with Atrial Fibrillation (STEEER-AF) trial. Methods results STEEER-AF pragmatic designed objectively robustly determine whether guidelines are adhered routine practice evaluate targeted educational for healthcare professionals. Seventy centres were randomized six countries (France, Germany, Italy, Poland, Spain, UK; 2022–23). recruited 1732 diagnosis atrial fibrillation (AF), mean age 68.9 years (SD 11.7), CHA2DS2-VASc score 3.2 1.8), 647 (37%) women. Eight hundred forty-three (49%) AF at enrolment 760 (44%) sinus rhythm. Oral anticoagulant therapy was prescribed 1543 (89%), majority receiving direct oral anticoagulants (1378; 89%). Previous cardioversion, antiarrhythmic drug therapy, or ablation recorded 836 (48.3%). Five fifty-one (31.8%) currently drug, 446 (25.8%) scheduled receive future cardioversion ablation. engaged 195 professionals across intervention group, consisting bespoke interactive online learning reinforcement activities, supported by national expert trainers. Conclusion successfully deployed investigate guideline adherence real-world if structured can improve patient-level care. Clinical Trial Registration Clinicaltrials.gov, NCT04396418.