eCite Digital Repository
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]
 | PDF (Published version) 2Mb |
Copyright Statement
© 2022 The authors. This article is distributed under the terms and conditions of the Creative Commons Attribution 4.0 International license (https:// creativecommons.org/licenses/by/4.0/).
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: | 2022-11-23 |
| Downloads: | 1 View Download Statistics |
Repository Staff Only: item control page