Evaluating the use of a mobile device for detection of atrial fibrillation in primary care.
anticoagulants
atrial fibrillation
biomedical technology
prevalence
primary health care
Journal
The British journal of cardiology
ISSN: 1753-4313
Titre abrégé: Br J Cardiol
Pays: England
ID NLM: 9503762
Informations de publication
Date de publication:
2021
2021
Historique:
entrez:
24
6
2022
pubmed:
27
1
2021
medline:
27
1
2021
Statut:
epublish
Résumé
A trial fibrillation (AF) increases cardio-embolic stroke risk, yet AF diagnosis and subsequent prophylactic anticoagulant prescription rates are suboptimal globally. This project aimed to increase AF diagnosis and subsequent anticoagulation prescription rates in East Midlands Clinical Commissioning Groups (CCGs). This service improvement evaluation of the East Midlands AF Advance programme investigated the implementation of mobile AF detection devices (Kardia, AliveCor) into primary-care practices within East Midlands CCGs, along with audit tools and clinician upskilling workshops designed to increase AF diagnosis and anticoagulation prescription rates. AF prevalence and prescription data were collected quarterly from July to September (Q3) 2017/18 to April to June/July to September (Q2/3) 2018/19. AF prevalence increased from 1.9% (22,975 diagnoses) in Q3 2017/18 to 2.4% (24,246 diagnoses) in Q2 2018/19 (p=0.026), while the percentage of high-risk AF patients receiving anticoagulants increased from 80.5% in Q3 2017/18 to 86.9% in Q3 2018/19 (p=0.57), surpassing the Public Health England 2019 target of 85%. The East Midlands AF Advance programme increased AF diagnosis and anticoagulation rates, which is expected to be of significant clinical benefit. The mobile AF detection devices provide a more practical alternative to traditional 12-lead electrocardiograms (ECGs) and should be incorporated into routine clinical practice for opportunistic AF detection, in combination with medication reviews to increase anticoagulant prescription.
Identifiants
pubmed: 35747477
doi: 10.5837/bjc.2021.005
pii: bjc.2021.005
pmc: PMC8822516
doi:
Types de publication
Journal Article
Langues
eng
Pagination
5Informations de copyright
Copyright © 2021 Medinews (Cardiology) Limited.
Déclaration de conflit d'intérêts
None declared.
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