ArticleQJM : monthly journal of the Association of Physicians2016
Opportunistic screening for atrial fibrillation in a rural area.
Article in QJM : monthly journal of the Association of Physicians, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Pooled it
- Effectiveness of screening for atrial fibrillation and its determinants. A meta-analysis.PloS one · 2019Pooled it
- Self-detection of atrial fibrillation in an aged population: three-year follow-up of the LietoAF intervention study.BMC geriatrics · 2017Trial
- Global implementation and evaluation of atrial fibrillation screening in the past two decades - a narrative review.NPJ cardiovascular health · 2024Review
- Opportunistic atrial fibrillation screening in primary care in Ireland: results of a pilot screening programme.Open heart · 2024Article
- Article
- Staff acceptability and patient usability of a self-screening kiosk for atrial fibrillation in general practice waiting rooms.Cardiovascular digital health journal · 2022Article
- Atrial fibrillation (AF) pilot screening programme in primary care in Ireland: an implementation study protocol.BMJ open · 2022Article
- Research Priorities in Atrial Fibrillation Screening: A Report From a National Heart, Lung, and Blood Institute Virtual Workshop.Circulation · 2021Review
- Atrial Fibrillation Screen, Management, and Guideline-Recommended Therapy in the Rural Primary Care Setting: A Cross-Sectional Study and Cost-Effectiveness Analysis of eHealth Tools to Support All Stages of Screening.Journal of the American Heart Association · 2020Article
- Acceleration of opportunistic atrial fibrillation screening for elderly patients in routine primary care.PloS one · 2020Observational
- Survey of Antithrombotic Treatment in Rural Patients (>60 years) with Atrial Fibrillation in East China.Scientific reports · 2018Article
- Review of screening studies for atrial fibrillation in rural populations of 11 countries.Proceedings (Baylor University. Medical Center) · 2017Review
- Screening for Atrial Fibrillation in Community and Primary CareSettings: A Scoping Review.Journal of atrial fibrillationArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOpportunistic screening is an effective means of identifying subjects with Atrial Fibrillation (AF). Previous studies of opportunistic screening have been performed areas with high population density and before the development of novel oral anticoagulant drugs. We performed a study to determine feasibility of AF screening in a predominantly rural, low population density area.
methodsOver 6 months, subjects 65 years and older were screened by local General Practitioners using radial pulse palpation confirmed by 12 lead Electrocardiogram. Data were recorded electronically and those with newly identified AF were followed up to examine management post diagnosis.
resultsIn total, 7262 subjects were screened and an irregular pulse was found in 916 (12.6%) of whom 735 (10.1%) had known AF and 55 (0.76%) had newly detected AF. Of these 55 patients with newly documented AF, 28 (50.9%) were women, 38 (69.1%) had hypertension and eight (14.5%) had a smoking history. Mean body mass index in subjects with newly documented AF was 28.9 kg/m(2)(SD 5.6) There was no significant difference in gender mix (P = 0.4), smoking history (P = 0.8) or alcohol history (P = 0.8) with the overall population. Fifty-one (92.7%) subjects had a CHA2DS2VaSC score ≥ 2 of whom 33 (64.7%) were eventually anticoagulated and nine (17.6%) commenced on Aspirin. The rate of newly identified patients in AF was lower than in previous reported key studies because of a higher rate of subjects with known AF.
conclusionOpportunistic AF screening in a rural environment identified a substantial number of new cases, although less than in previous screening studies.
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