{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T11:59:10Z","timestamp":1785499150103,"version":"3.56.0"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,7]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Atrial fibrillation is a primary cause of ischemic stroke, necessitating early detection, particularly in patients with embolic stroke of undetermined source. While nurseled continuous electrocardiogram monitoring allows real\u2010time rhythm assessment in acute stroke units, its specific clinical impact remains insufficiently clarified.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n To evaluate the impact of nurse\u2010led notification of suspected atrial fibrillation in patients with cryptogenic stroke.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n A retrospective medical record review was conducted on patients with cryptogenic stroke admitted to a stroke unit between January and December 2022 in a tertiary general hospital in South Korea. Clinical characteristics and outcomes were compared based on the presence of nurse\u2010led atrial fibrillation notifications.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In total, 235 patients were included. Nurse\u2010led notifications for suspected atrial fibrillation occurred in 24 (10.2%) patients of whom 95.8% were confirmed to have overt atrial fibrillation. The nurse\u2010led notification group experienced a shorter time to anticoagulation initiation (3.7 vs. 5.6\u2009days;\n p<\/jats:italic>\n \u2009=\u20090.015), shorter hospital stay (7.2 vs. 12.9\u2009days;\n p<\/jats:italic>\n \u2009=\u20090.015) and lower overall medical costs ($5889.6 vs. $8487.6;\n p<\/jats:italic>\n \u2009=\u20090.021) among the group of newly confirmed atrial fibrillation. Nurses with \u2265\u200910\u2009years of neurology experience were associated with atrial fibrillation detection (RR\u2009=\u200917.70, 95% confidence interval\u2009=\u20094.64\u201367.70,\n p<\/jats:italic>\n \u2009<\u20090.001). Nurse\u2010led notification was independently associated with reduced hospital stay (\n B<\/jats:italic>\n \u2009=\u2009\u22125.08, 95% confidence interval\u2009=\u2009\u22128.33\u2009\u2013\u2009\u22121.83,\n p<\/jats:italic>\n \u2009=\u20090.002).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Nurse\u2010led notification of suspected atrial fibrillation was associated with shorter hospital stays and a potential benefit in the early initiation of anticoagulation. Integrating experienced nurses into structured cardiac monitoring protocols may improve the efficacy of care for patients with embolic stroke of undetermined source.<\/jats:p>\n <\/jats:sec>\n \n Relevance to Clinical Practice<\/jats:title>\n Nurse\u2010led atrial fibrillation detection significantly improves clinical and economic outcomes. These findings underscore the critical role of clinical expertise in cardiac monitoring, suggesting that such initiatives can optimise resource allocation and improve clinical outcomes in stroke units.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/nicc.70572","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T07:51:39Z","timestamp":1784015499000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Nurse\u2010Led atrial Fibrillation Detection for Patients With Embolic Stroke of Unknown Source in Stroke Units: A Retrospective Study"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5061-7194","authenticated-orcid":false,"given":"Junghee","family":"Han","sequence":"first","affiliation":[{"name":"Department of Nursing Asan Medical Center Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8108-5913","authenticated-orcid":false,"given":"Hyunjin","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Nursing Asan Medical Center Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8689-9404","authenticated-orcid":false,"given":"Sunja","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Nursing Asan Medical Center Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3278-3252","authenticated-orcid":false,"given":"Bum Joon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurology Asan Medical Center Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2025.108328"},{"issue":"24","key":"e_1_2_15_3_1","first-page":"2371","article-title":"Stroke Prevention in Atrial Fibrillation: Looking Forward","volume":"142","author":"Katsanos A. 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B.","year":"2024","journal-title":"Cureus"},{"key":"e_1_2_15_27_1","volume-title":"Temporal Variations in Quality of Acute Stroke Care and Outcomes in London Hyperacute Stroke Units: A Mixed\u2010Methods Study","author":"Simister R.","year":"2020"}],"container-title":["Nursing in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70572","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nicc.70572","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70572","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T11:20:07Z","timestamp":1785496807000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nicc.70572"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/nicc.70572"],"URL":"https:\/\/doi.org\/10.1111\/nicc.70572","archive":["Portico"],"relation":{},"ISSN":["1362-1017","1478-5153"],"issn-type":[{"value":"1362-1017","type":"print"},{"value":"1478-5153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-03-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70572"}}