Evidence map›Paper›PMID 28915862›Full record

Trial reportBMC geriatrics2017

Self-detection of atrial fibrillation in an aged population: three-year follow-up of the LietoAF intervention study.

Jussi Jaakkola, Raine Virtanen, Tuija Vasankari, Marika Salminen, K E Juhani Airaksinen

Registry-linked trialOpen access · goldAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01721005 (Screening Versus Routine Practice in Detection of Atrial Fibrillation in the Elderly Population of Lieto), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT01721005 naunknown statusnot on this map

Screening Versus Routine Practice in Detection of Atrial Fibrillation in the Elderly Population of Lieto

TypeinterventionalSponsorUniversity of TurkuRan2012 to 2017Enrolled200ConditionsAtrial Fibrillation, StrokeArmsSubject education to pulse palpation
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Cardio-Dance Exercise to Improve Cognition and Mood in Older African Americans: A Propensity-Matched Cohort Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Jussi JaakkolaHeart Centre, Turku University Hospital and University of Turku, Kiinamyllynkatu 4-8, Box 52, FIN-20521, Turku, PO, Finland.
Raine VirtanenHeart Centre, Turku University Hospital and University of Turku, Kiinamyllynkatu 4-8, Box 52, FIN-20521, Turku, PO, Finland.
Tuija VasankariHeart Centre, Turku University Hospital and University of Turku, Kiinamyllynkatu 4-8, Box 52, FIN-20521, Turku, PO, Finland.
Marika SalminenInstitute of Clinical Medicine, Family Medicine, University of Turku, Kiinamyllynkatu 4-8, 20521, Turku, Finland.
K E Juhani AiraksinenHeart Centre, Turku University Hospital and University of Turku, Kiinamyllynkatu 4-8, Box 52, FIN-20521, Turku, PO, Finland. juhani.airaksinen@tyks.fi.
University of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is often asymptomatic and undiagnosed until an ischaemic stroke occurs. An irregular pulse is a key manifestation of AF. We assessed whether pulse self-palpation is feasible in screening of AF.

methodsAltogether 205 residents of Lieto municipality aged ≥75 years were randomized in 2012 to receive brief education on pulse palpation focusing on evaluating rhythm regularity. Self-detected pulse irregularity and new AF diagnoses were recorded, and the subjects' quality of life and use of health care services were assessed during a three-year follow-up.

resultsThe subjects' median age was 78.2 [3.8] years, and 89 (43.4%) were men. Overall, 139 (68%) subjects had initial good motivation/capability for regular palpation. At four months, 112 (80.6%) subjects with good and 26 (39.4%) with inadequate motivation/capability palpated their pulse daily. At 12 months, 120 (58.5%) and at 36 months, 69 (33.7%) subjects palpated their pulse at least weekly. During the intervention, 67 (32.7%) subjects reported pulse irregularity. New AF was found in 10 (4.9%) subjects, 7 (70%) of whom had reported pulse irregularity. Pulse irregularity independently predicted new AF, but only one (0.5%) subject with new AF sought undelayed medical attention due to pulse irregularity. Quality of life and number of outpatient clinic visits remained unchanged during follow-up.

conclusionPulse palpation can be learned also by the elderly, but it is challenging to form a continuing habit. The low persistence of pulse self-palpation limits its value in the screening of AF, and strategies to promote persistence and research on alternative screening methods are needed.

trial registrationhttp://www.ClinicalTrials.gov identifier: NCT01721005. The trial was registered retrospectively on October 26, 2012.

Indexed as

Heart RateAgedAged, 80 and overAmbulatory CareAtrial FibrillationFeasibility StudiesFemaleFinlandFollow-Up StudiesHumansMalePalpationPatient Education as TopicSelf CareSelf-ExaminationAsymptomatic conditionsAtrial fibrillationScreeningStroke

Identifiers

PMID28915862
PMCPMC5602855
OpenAlexW2756127363

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.