Articles producció científica> Medicina i Cirurgia

Results, barriers and enablers in atrial fibrillation case finding: barriers in opportunistic atrial fibrillation case finding-a cross-sectional study

  • Datos identificativos

    Identificador: imarina:8681310
    Autores:
    Ballesta-Ors, JuanClua-Espuny, Josep LGentille-Lorente, Delicia, ILechuga-Duran, InigoFernandez-Saez, JoseMuria-Subirats, EulaliaBlasco-Mulet, MariaLorman-Carbo, BlancaAlegret, Josep M
    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.
  • Otros:

    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
  • Palabras clave:

    Family Practice,Medicine, General & Internal,Primary Health Care
    Stroke
    Risk
    Pulse
    Prevention
    Prevalence
    Patient
    Mass screening
    Incidence
    Humans
    Diagnosis
    Cross-sectional studies
    Case finding
    Atrial fibrillation
    Anticoagulants
    Aged
    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
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