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Trial registered on ANZCTR
Registration number
ACTRN12621001506886
Ethics application status
Approved
Date submitted
8/09/2021
Date registered
4/11/2021
Date last updated
13/09/2023
Date data sharing statement initially provided
4/11/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
An Observational Prospective Registry of Atrial Fibrillation
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Scientific title
An Observational Prospective Registry of Atrial Fibrillation in Australian Adults
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Secondary ID [1]
305239
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None
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Universal Trial Number (UTN)
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Trial acronym
RECORD-AF
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Atrial Fibrillation
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Condition category
Condition code
Cardiovascular
321077
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0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Observational
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Patient registry
True
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Target follow-up duration
5
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Target follow-up type
Years
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Description of intervention(s) / exposure
The study population will consist of participants with paroxysmal and non-paroxsmal atrial fibrillation (AF) or atrial flutter (AFI) with a diagnosis of non-valvular clinical atrial fibrillation (NVAF). Definition of clinical NVAF is based on 2018 Australian Clinical Guidelines for the Diagnosis and Management of Atrial Fibrillation, which by accepted convention, a documented episode lasting at least 30 seconds is diagnostic.
Clinical investigation data for patients with AF will be collected at baseline and every 12 month, for a minimum of 5 years. Participants will attend an 1-hour consultation at the study hospital every 12 months. Other clinical data will be collected from their medical record in an ongoing basis.
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Intervention code [1]
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The composite outcomes of cognitive decline and stroke.
The outcomes will be assessed via clinical visit and data-linkage to medical records.
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Assessment method [1]
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Timepoint [1]
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The outcome will be assessed every 12 months (months 12, 24, 36, 28, and 60) up to 5 years follow-up after enrolment.
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Primary outcome [2]
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The outcomes of mortality, assessed via clinical visit and data-linkage to medical records.
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Assessment method [2]
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Timepoint [2]
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The outcome will be assessed every 12 months (months 12, 24, 36, 28, and 60) up to 5 years follow-up after enrolment.
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Primary outcome [3]
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The composite of outcomes of heart failure and unplanned hospitalizations.
The composite of outcomes of heart failure and unplanned hospitalizations will assessed via clinical visit and data-linkage to medical records.
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Assessment method [3]
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Timepoint [3]
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The outcome will be assessed every 12 months (months 12, 24, 36, 28, and 60) up to 5 years follow-up after enrolment.
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Secondary outcome [1]
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incidence of tachycardia induced cardiomyopathy, assessed by data-linkage to medical records
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Assessment method [1]
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Timepoint [1]
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The outcome will be assessed every 12 months (months 12, 24, 36, 28, and 60) up to 5 years follow-up after enrolment.
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Eligibility
Key inclusion criteria
• Clinical diagnosis of AF
• Capacity to provide informed consent
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• Less than12 months of life expectancy
• Severe valvular disease i.e. mitral or aortic valve disease
• Cardiac surgery in the last three months, or expected during first six months of study period
• A recent history (< 1 year) of current malignancy, advanced heart failure (NYHA class IV), or end stage COAD or Interstitial lung disease other severe life-threatening comorbidities
• Parkinson’s disease
• Alzheimers disease
• Aphasia
• Severe psychiatric disorders e.g. schizophrenia, schizoaffective disorder or bipolar disorder
• An inability to provide informed consent
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
For the primary objective as we are describing outcomes of participants we will use means and standard deviation for continuous normally distributed data and medians and interquartile range (IQR) for skewed data and frequencies and percentages for categorical variables.
For secondary objectives, association between management of paroxysmal and non-paroxysmal AF and clinical outcomes will be investigated using regression models appropriate for outcomes (e.g. linear regression for continuous normally distributed outcomes) with adjustment for confounding. This model will be repeated for association between treatment strategies and AF control.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
12/10/2021
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Date of last participant enrolment
Anticipated
30/09/2026
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Actual
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Date of last data collection
Anticipated
30/09/2031
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Actual
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Sample size
Target
1500
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Accrual to date
199
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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Lyell McEwin Hospital - Elizabeth Vale
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Recruitment postcode(s) [1]
35250
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5112 - Elizabeth Vale
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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The University of Adelaide
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Address [1]
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Lyell McEwin Hospital
Level 2, University Of Adelaide Education Area
Haydown Road
Elizabeth Vale, SA 5112
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Country [1]
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Australia
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Primary sponsor type
University
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Name
The University of Adelaide
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Address
Lyell McEwin Hospital
Level 2, University Of Adelaide Education Area
Haydown Road
Elizabeth Vale, SA 5112
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
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None
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Central Adelaide Local Health Network HREC
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Ethics committee address [1]
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Level 3, Roma Mitchell Building | 136 North Terrace, Adelaide, SA 5000
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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07/06/2021
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Approval date [1]
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14/07/2021
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Ethics approval number [1]
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2021/HRE00204
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Summary
Brief summary
RECORD-AF study will enroll participants with a clinical diagnosis of atrial fibrillation (AF). This study will assess development of stroke and cognitive decline overtime, as well as record mortality rate among patients with AF. The primary objectives of this study are: 1. Assess the interaction of baseline AF health literacy, social determinants of health and biological aging the incidence of long-term outcomes such as: a) heart failure (HF) (HF preserved ejection fraction (EF), HF midrange EF, and HF reduced EF); b) mortality; c) stroke; d) cognitive decline and e) progression of AF Secondary objectives of this study are: 1. Determine the impact of blood pressure variability on long-term outcomes, in particular cognitive impairment, in patients with paroxysmal and non-paroxysmal AF. 2. Determine factors associated with development of tachycardia induced cardiomyopathy in AF patients.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Rajiv Mahajan
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Address
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Lyell McEwin Hospital
Level 2, University Of Adelaide Education Area
Haydown Road
Elizabeth Vale, SA 5112
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Country
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Australia
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Phone
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+61 8 8182 9439
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Rajiv Mahajan
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Address
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Lyell McEwin Hospital
Level 2, University Of Adelaide Education Area
Haydown Road
Elizabeth Vale, SA 5112
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Country
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Australia
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Phone
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+61 8 8182 9439
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Rajiv Mahajan
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Address
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Lyell McEwin Hospital
Level 2, University Of Adelaide Education Area
Haydown Road
Elizabeth Vale, SA 5112
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Country
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Australia
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Phone
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+61 8 8182 9439
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
The data will be de-identified and reported as aggregate
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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