TY - JOUR T1 - Quality Improvement in Atrial Fibrillation detection after ischaemic stroke (QUIT-AF) JF - Clinical Medicine JO - Clin Med SP - 480 LP - 485 DO - 10.7861/clinmed.2020-0322 VL - 20 IS - 5 AU - Amit K Kishore AU - Susan Fletcher AU - Denise Mason AU - Christopher Ashton AU - Jane Molloy AU - Alan Fitchet Y1 - 2020/09/01 UR - http://www.rcpjournals.org/content/20/5/480.abstract N2 - Background Paroxysmal atrial fibrillation (PAF) is a frequent cause of recurrent stroke but can be difficult to detect because of its episodic and often asymptomatic nature. We sought to improve rate of PAF detection through a quality improvement project (QIP) to deliver early prolonged inpatient cardiac monitoring on the stroke unit (SU).Methods A structured protocol for cardiac monitoring using 5-day event recorders was established. ‘In-house’ cardiac monitoring was implemented. Performance data on this change in service was analysed prospectively and summary statistics obtained.Results One-hundred and two ischaemic stroke (IS) patients undertook 5-day event recorder monitoring. Provision of monitors as an inpatient (IP) increased from 20% (pre-QIP pilot 2018) to 65.7% (during QIP). New AF was detected in 15 patients (14.7% vs 8.6% pre-QIP pilot 2018) with majority of new AF (13 patients; 19%) detected when monitors applied early (IP) after IS.Conclusion Although this study had a number of limitations, it did demonstrate that early and prolonged non-invasive IP cardiac monitoring could be delivered ‘in-house’ on the SU and improve AF detection rates. ER -