Key result
Conflict-affected healthcare is linked to significantly worse AF outcomes compared to stable systems.
Why the study?
Atrial fibrillation outcomes vary depending on health care system stability, prompting a comparison of outcomes between a conflict-affected country and a country with a stable health care system.
Does management in a conflict-affected healthcare system worsen outcomes in patients with atrial fibrillation compared to a stable healthcare system?
Cohort
Yes
Does management in a conflict-affected healthcare system worsen outcomes in patients with atrial fibrillation compared to a stable healthcare system?
Atrial fibrillation outcomes, including readmissions and complications, are significantly worse in conflict-affected regions compared to stable neighboring countries.
Answers are grounded in this paper and cite their sources.
AF outcomes were worse in conflict-affected systems; this observational finding leaves open causality and the need for prospective intervention studies.
Background: Atrial fibrillation (AF) outcomes vary depending on the stability of the health care system. Objective: This study compared AF outcomes in 2 neighboring Levant countries: Syria, a conflict-affected country, and Jordan, a country with a stable health care system. Methods: We conducted a retrospective observational cohort study of patients with AF from Tishreen University Hospital in Latakia, Syria, and the Jordanian Atrial Fibrillation Registry. Propensity score matching was performed to adjust for baseline characteristics. Primary outcomes included 1-year readmission rates and the 1-month incidence of cerebrovascular accidents (CVAs) or major bleeding. Conclusion: AF outcomes are significantly worse in Syria than in Jordan. Health care disruptions contribute to increased readmissions and complications. Strengthening AF management in conflict zones through improved access to medications and structured follow-up is essential to mitigating adverse outcomes.
No takes yet. Share an insight, caveat, or question.
Antoun et al. (2025) conducted a cohort in Atrial fibrillation. Conflict-affected healthcare system (Syria) vs. Stable healthcare system (Jordan) was evaluated on 1-year readmission rates and 1-month incidence of cerebrovascular accidents or major bleeding (p=< .001). A conflict-affected healthcare system in Syria was associated with significantly worse atrial fibrillation outcomes compared to a stable healthcare system in Jordan (P < .001).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: