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Improving knowledge and early detection of atrial fibrillation through a community-based opportunistic screening program: what's your beat?

Citation

Jatau Abubakar, I and Bereznicki, LR and Wimmer, BC and Bezabhe, WM and Peterson, GM, Improving knowledge and early detection of atrial fibrillation through a community-based opportunistic screening program: what's your beat?, International Journal of Environmental Research and Public Health, 19, (11) Article 6860. ISSN 1661-7827 (2022) [Refereed Article]


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DOI: doi:10.3390/ijerph19116860

Abstract

A community-based opportunistic screening program was implemented to (i) improve atrial fibrillation (AF) awareness and detection and (ii) assess the performance of the Microlife WatchBP Home A for detecting AF when used in community screening. Screening sessions were conducted among people aged ≥ 65 years with no history of AF at public events across Tasmania, Australia. Participants with positive screening results were referred to their general medical practitioner for assessment. The device's performance was assessed using the positive predictive value. A total of 1704 eligible participants were screened at 79 sessions. Of these people, 50 (2.9%) had a positive screening result. The device correctly identified AF in 22 (46.8%) participants with positive results. Among those with subsequently confirmed AF, 6 (27.3%) had a history of AF but were not aware of the diagnosis, and 16 (72.7%) were identified to have previously undiagnosed AF, with an overall prevalence of 0.9% (95% CI, 0.58 to 1.52). Oral anticoagulation therapy was initiated in 12 (87.5%) eligible participants. The positive predictive value of the device was 46.8% (95% CI, 33.3 to 60.7). Given the relatively low performance of the device, its application in community-based opportunistic screening programs for AF is unlikely to be cost-effective.

Item Details

Item Type:Refereed Article
Keywords:atrial fibrillation, detection, knowledge, screening, stroke, elderly, community
Research Division:Biomedical and Clinical Sciences
Research Group:Cardiovascular medicine and haematology
Research Field:Cardiovascular medicine and haematology not elsewhere classified
Objective Division:Health
Objective Group:Clinical health
Objective Field:Diagnosis of human diseases and conditions
UTAS Author:Jatau Abubakar, I (Mr Ibrahim Jatau Abubakar)
UTAS Author:Bereznicki, LR (Professor Luke Bereznicki)
UTAS Author:Wimmer, BC (Dr Barbara Wimmer)
UTAS Author:Bezabhe, WM (Dr Woldesellassie Bezabhe)
UTAS Author:Peterson, GM (Professor Gregory Peterson)
ID Code:150301
Year Published:2022
Deposited By:Pharmacy
Deposited On:2022-06-07
Last Modified:2022-06-20
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