Autor según el artículo: Ballesta-Ors, Juan; Clua-Espuny, Josep L; Gentille-Lorente, Delicia, I; Lechuga-Duran, Inigo; Fernandez-Saez, Jose; Muria-Subirats, Eulalia; Blasco-Mulet, Maria; Lorman-Carbo, Blanca; Alegret, Josep M
Departamento: Medicina i Cirurgia
Autor/es de la URV: Alegret Colomé, Josep Maria / Ballesta Ors, Juan / Lorman Carbó, Blanca / Muria Subirats, Eulàlia
Palabras clave: Stroke Risk Pulse Prevention Prevalence Patient Mass screening Incidence Humans Diagnosis Cross-sectional studies Case finding Atrial fibrillation Anticoagulants Aged
Resumen: Background: Atrial fibrillation (AF) is often asymptomatic, and screening is not routinely undertaken.
Objective: Evaluate the feasibility and effectiveness of a population-based case finding program and to identify the enablers of and/or barriers to its implementation.
Methods: We conducted a cross-sectional study of a health care case finding program for AF from 1 January 2016, to 31 December 2017, that included 48 336 people >= 60 years of age in the region of Terresde l'Ebre (Catalonia, Spain). We analysed the effect on the prevalence of AF and, stratified by age, on the incidence of new diagnoses of AF. We assessed the sociodemographic and clinical variables related to the realization of a case finding.
Results: A total of 32 090 (62.4%) people were screened for AF. We observed a significant increase in the AF prevalence after 2 years of program intervention (5.9-7.7%; P < 0.001). The detection of new AF cases was significantly higher in the case finding group across the whole of the age range, and 765 (2.6%) new AF cases were diagnosed using case finding. The factors that were significantly associated with an underuse of case finding were: age <70 years, urban residence, institutionalized status, Pfeiffer score >= 2, Charlson score >3 and number of visits <7/year.
Conclusions: A health care program of case finding is feasible and is associated with a significant increase in the prevalence and incidence of AF. The results depend on factors such as the ease of access to health care, age, place of residence and comorbidities.
Áreas temáticas: Serviço social Saúde coletiva Psychology Psicología Primary health care Medicine, general & internal Medicine (all) Medicina ii Medicina i Farmacia Family practice Ciencias sociales Ciências biológicas ii
Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
Direcció de correo del autor: josepmaria.alegret@urv.cat blanca.lorman@estudiants.urv.cat
Identificador del autor: 0000-0002-6117-5512
Fecha de alta del registro: 2024-06-28
Versión del articulo depositado: info:eu-repo/semantics/submittedVersion
Enlace a la fuente original: https://academic.oup.com/fampra/article/37/4/486/5812626?login=true
Referencia al articulo segun fuente origial: Family Practice. 37 (4): 486-492
Referencia de l'ítem segons les normes APA: Ballesta-Ors, Juan; Clua-Espuny, Josep L; Gentille-Lorente, Delicia, I; Lechuga-Duran, Inigo; Fernandez-Saez, Jose; Muria-Subirats, Eulalia; Blasco-Mu (2020). Results, barriers and enablers in atrial fibrillation case finding: barriers in opportunistic atrial fibrillation case finding-a cross-sectional study. Family Practice, 37(4), 486-492. DOI: 10.1093/fampra/cmaa023
URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
DOI del artículo: 10.1093/fampra/cmaa023
Entidad: Universitat Rovira i Virgili
Año de publicación de la revista: 2020
Tipo de publicación: Journal Publications