Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Analysis of a Cohort of Patients with Atrial Fibrillation on Warfarin: The Jordan Atrial Fibrillation Study (JoFib)

Version 1 : Received: 11 January 2024 / Approved: 12 January 2024 / Online: 12 January 2024 (11:31:21 CET)

How to cite: Al-Shatanawi, T. N.; Alkouri, O.; ALSalamat, H. A.; Al-Zubiedi, S.; Qaladi, O. A.; Dabbour, R.; Al-Bashaireh, A.; Hweidi, A. I.; Al-Hadid, L. A.; Hammoudeh, A. Analysis of a Cohort of Patients with Atrial Fibrillation on Warfarin: The Jordan Atrial Fibrillation Study (JoFib). Preprints 2024, 2024011011. https://doi.org/10.20944/preprints202401.1011.v1 Al-Shatanawi, T. N.; Alkouri, O.; ALSalamat, H. A.; Al-Zubiedi, S.; Qaladi, O. A.; Dabbour, R.; Al-Bashaireh, A.; Hweidi, A. I.; Al-Hadid, L. A.; Hammoudeh, A. Analysis of a Cohort of Patients with Atrial Fibrillation on Warfarin: The Jordan Atrial Fibrillation Study (JoFib). Preprints 2024, 2024011011. https://doi.org/10.20944/preprints202401.1011.v1

Abstract

(1) Background: Most patients with atrial fibrillation, on warfarin therapy, are at higher risk of morbidity and mortality. However, data targeting patients with atrial fibrillation, who take warfarin therapy, are limited in Jordan. This study aimed to provide in-depth analysis of a cohort of patients with atrial fibrillation on warfarin regarding patients’ characteristics, atrial fibrillation related symptoms, interventions, comorbidities, and 12-months outcomes. (2) Methods: The study enrolled 645 patients with atrial fibrillation, on warfarin, from 28 health settings across Jordan. Standardized clinical data form was utilized to collect data upon enrollment, at one, six, and 12 months post initial assessment. Descriptive statistics were used for the description of variables. (3) Results: The most commonly reported symptoms were palpitation (41.4%) shortness of breath (39.1%) and fatigue (26.2%). The prevalent comorbidities associated with atrial fibrillation were congestive heart failure (22.5%), valvular heart diseases (16.6%), and cerebral vascular accident (16.3%). The embolic (32.4%) and thrombotic cerebral vascular accident (16.2%) were the most common type. Major bleeding associated with hospitalization was the most frequent type of bleeding (10 out of 24). (4) Conclusions: Jordanians, using anticoagulation, need to be constantly monitored in terms of their characteristics, symptoms, and any potential complications, to ensure its optimal therapeutic dose and prevent any potential health complications.

Keywords

Warfarin; atrial fibrillation; cerebral vascular accident; outcomes.

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

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