Evidence map›Paper›PMID 33878888›Full record

ArticleJournal of the American Heart Association2021

Screening for Atrial Fibrillation in American Indian Adults in a Tribal Primary Care Clinic.

Stavros Stavrakis, Khaled Elkholey, Marty M Lofgren, Zain U A Asad, Lancer D Stephens, Ben Freedman

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 15% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation: the 8th AFNET/EHRA consensus conference.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
  6. Review
  7. Article
  8. How to use digital devices to detect and manage arrhythmias: an EHRA practical guide.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2022
    Article
  9. Article
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

6 authors at 3 institutions in 2 countries.

Stavros StavrakisHeart Rhythm Institute University of Oklahoma Health Sciences Center Oklahoma City OK.
Khaled ElkholeyHeart Rhythm Institute University of Oklahoma Health Sciences Center Oklahoma City OK.
Marty M LofgrenAbsentee Shawnee Tribal Health System Little Axe OK.
Zain U A AsadHeart Rhythm Institute University of Oklahoma Health Sciences Center Oklahoma City OK.
Lancer D StephensOklahoma Shared Clinical and Translational Resources Center Oklahoma City OK.
Ben FreedmanHeart Research Institute Charles Perkins Centre University of Sydney Australia.
University of Oklahoma Health Sciences Center · USAlaska Native Tribal Health Consortium · USThe University of Sydney · AU

Funding

Tracking and Evaluation CoreU54GM104938 · NIGMS · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI TIMOTHY M VANWAGONER · 2013 to 2026
$68.2M
Addressing Health Disparities among Oklahoma Minority and Rural Communities through Clinical Research Education and Career DevelopmentR25MD011564 · NIMHD · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI HOUCHEN, COURTNEY WAYNE, STAVRAKIS, STAVROS · 2017 to 2021
$2.7M
NIGMS NIH HHS U54 GM104938NIMHD NIH HHS R25 MD011564
6 · The paper itself

Abstract

Background American Indian adults have a higher risk of atrial fibrillation (AF) compared with other racial groups. We implemented opportunistic screening to detect silent AF in American Indian adults attending a tribal health system using a mobile, single-lead ECG device. Methods and Results American Indian patients aged ≥50 years followed in a tribal primary care clinic with no history of AF underwent a 30-second ECG. A cardiologist overread all tracings to confirm the diagnosis of AF. After AF was confirmed, patients were referred to their primary care physician for initiation of anticoagulation. Patients seen over the same time period, who were not undergoing screening, served as controls. A total of 1019 patients received AF screening (mean age, 61.5±8.9 years, 62% women). Age and sex distribution of those screened was similar to the overall clinic population. New AF was diagnosed in 15 of 1019 (1.5%) patients screened versus 4 of 1267 (0.3%) patients who were not screened (mean difference, 1.2%; 95% CI, 0.3%-2.2%,

Indexed as

AgedAmerican Indian or Alaska NativeAtrial FibrillationElectrocardiographyFemaleFollow-Up StudiesHumansIncidenceMaleMass ScreeningMiddle AgedOklahomaPrevalencePrimary Health CareProspective StudiesTime FactorsAmerican Indian adultsatrial fibrillationdigital healthscreening

Identifiers

PMID33878888
PMCPMC8200768
OpenAlexW3155452198

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.