eHealth Tools to Provide Structured Assistance for Atrial Fibrillation Screening, Management, and Guideline-Recommended Therapy in Metropolitan General Practice: The AF - SMART Study.
Administration, Oral
Aged
Algorithms
Anticoagulants
/ administration & dosage
Atrial Fibrillation
/ diagnosis
Australia
/ epidemiology
Disease Management
Electrocardiography
Female
Follow-Up Studies
General Practice
/ statistics & numerical data
Guideline Adherence
Humans
Male
Mass Screening
/ methods
Morbidity
/ trends
Retrospective Studies
Smartphone
Telemedicine
/ methods
Time Factors
atrial fibrillation
eHealth
general practices
screening
stroke prevention
Journal
Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524
Informations de publication
Date de publication:
08 01 2019
08 01 2019
Historique:
entrez:
29
12
2018
pubmed:
29
12
2018
medline:
4
1
2020
Statut:
ppublish
Résumé
Background This eH ealth implementation study aimed to evaluate strategies to promote opportunistic atrial fibrillation ( AF ) screening using electronic screening prompts and improve treatment using electronic decision support ( EDS ) software. Methods and Results An electronic screening prompt appeared whenever an eligible patient's (aged ≥65 years, no AF diagnosis) medical record was opened in participating general practices. General practitioners and practice nurses offered screening using a smartphone ECG, with validated AF algorithm. Guideline-based EDS was provided to assist treatment decisions. Deidentified data were collected from practices using a data extraction tool. General practices (n=8) across Sydney, Australia, screened for a median of 6 months. A total of 1805 of 11 476 (16%) eligible patients who attended were screened (44% men, mean age 75.7 years). Screening identified 19 (1.1%) new cases of AF (mean age, 79 years; mean CHA
Identifiants
pubmed: 30590964
doi: 10.1161/JAHA.118.010959
pmc: PMC6405712
doi:
Substances chimiques
Anticoagulants
0
Banques de données
ANZCTR
['ACTRN12616000850471']
Types de publication
Clinical Trial
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e010959Références
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