Screening for Atrial Fibrillation by Digital Health Technology in Older People in Homecare Settings: A Feasibility Trial
Aims. Users of homecare services are often excluded from clinical trials due to advanced age, multimorbidity, and frailty. Atrial fibrillation (AF) is a common and frequently undiagnosed arrhythmia in the elderly and is associated with severe mortality, morbidity, and healthcare costs. Timely identi...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | International Journal of Telemedicine and Applications |
| Online Access: | http://dx.doi.org/10.1155/2024/4080415 |
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| author | Edvard Liljedahl Sandberg Sigrun Halvorsen Trygve Berge Jostein Grimsmo Dan Atar Bjørnar Leangen Grenne Jarle Jortveit |
| author_facet | Edvard Liljedahl Sandberg Sigrun Halvorsen Trygve Berge Jostein Grimsmo Dan Atar Bjørnar Leangen Grenne Jarle Jortveit |
| author_sort | Edvard Liljedahl Sandberg |
| collection | DOAJ |
| description | Aims. Users of homecare services are often excluded from clinical trials due to advanced age, multimorbidity, and frailty. Atrial fibrillation (AF) is a common and frequently undiagnosed arrhythmia in the elderly and is associated with severe mortality, morbidity, and healthcare costs. Timely identification prevents associated complications through evidence-based treatment. This study is aimed at assessing the feasibility of AF screening using new digital health technology in older people in a homecare setting. Methods. Users of homecare services≥65 years old with at least one additional risk factor for stroke in two Norwegian municipalities were assessed for study participation by nurses. Participants performed a continuous prolonged ECG recording using a patch ECG device (ECG247 Smart Heart Sensor). Results. A total of 144 individuals were assessed for study participation, but only 18 (13%) were included. The main reasons for noninclusion were known AF and/or anticoagulation therapy (25%), severe cognitive impairment (26%), and lack of willingness to participate (36%). The mean age of participants performing the ECG test was 81 (SD±7) years, and 9 (50%) were women. All ECG tests were interpretable; the mean ECG monitoring time was 104 hours (IQR 34-338 hours). AF was detected in one individual (6%). Conclusion. This feasibility study highlights the challenges of enrolling older people receiving homecare services in clinical trials. However, all included participants performed an interpretable and prolonged continuous ECG recording with a digital ECG patch device. This trial is registered with NCT04700865. |
| format | Article |
| id | doaj-art-478337be1eb34a17ba14ce506fd64865 |
| institution | Kabale University |
| issn | 1687-6423 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Telemedicine and Applications |
| spelling | doaj-art-478337be1eb34a17ba14ce506fd648652025-02-03T06:14:53ZengWileyInternational Journal of Telemedicine and Applications1687-64232024-01-01202410.1155/2024/4080415Screening for Atrial Fibrillation by Digital Health Technology in Older People in Homecare Settings: A Feasibility TrialEdvard Liljedahl Sandberg0Sigrun Halvorsen1Trygve Berge2Jostein Grimsmo3Dan Atar4Bjørnar Leangen Grenne5Jarle Jortveit6Sorlandet HospitalInstitute of Clinical MedicineInstitute of Clinical MedicineLovisenberg RehabilitationInstitute of Clinical MedicineClinic of CardiologySorlandet HospitalAims. Users of homecare services are often excluded from clinical trials due to advanced age, multimorbidity, and frailty. Atrial fibrillation (AF) is a common and frequently undiagnosed arrhythmia in the elderly and is associated with severe mortality, morbidity, and healthcare costs. Timely identification prevents associated complications through evidence-based treatment. This study is aimed at assessing the feasibility of AF screening using new digital health technology in older people in a homecare setting. Methods. Users of homecare services≥65 years old with at least one additional risk factor for stroke in two Norwegian municipalities were assessed for study participation by nurses. Participants performed a continuous prolonged ECG recording using a patch ECG device (ECG247 Smart Heart Sensor). Results. A total of 144 individuals were assessed for study participation, but only 18 (13%) were included. The main reasons for noninclusion were known AF and/or anticoagulation therapy (25%), severe cognitive impairment (26%), and lack of willingness to participate (36%). The mean age of participants performing the ECG test was 81 (SD±7) years, and 9 (50%) were women. All ECG tests were interpretable; the mean ECG monitoring time was 104 hours (IQR 34-338 hours). AF was detected in one individual (6%). Conclusion. This feasibility study highlights the challenges of enrolling older people receiving homecare services in clinical trials. However, all included participants performed an interpretable and prolonged continuous ECG recording with a digital ECG patch device. This trial is registered with NCT04700865.http://dx.doi.org/10.1155/2024/4080415 |
| spellingShingle | Edvard Liljedahl Sandberg Sigrun Halvorsen Trygve Berge Jostein Grimsmo Dan Atar Bjørnar Leangen Grenne Jarle Jortveit Screening for Atrial Fibrillation by Digital Health Technology in Older People in Homecare Settings: A Feasibility Trial International Journal of Telemedicine and Applications |
| title | Screening for Atrial Fibrillation by Digital Health Technology in Older People in Homecare Settings: A Feasibility Trial |
| title_full | Screening for Atrial Fibrillation by Digital Health Technology in Older People in Homecare Settings: A Feasibility Trial |
| title_fullStr | Screening for Atrial Fibrillation by Digital Health Technology in Older People in Homecare Settings: A Feasibility Trial |
| title_full_unstemmed | Screening for Atrial Fibrillation by Digital Health Technology in Older People in Homecare Settings: A Feasibility Trial |
| title_short | Screening for Atrial Fibrillation by Digital Health Technology in Older People in Homecare Settings: A Feasibility Trial |
| title_sort | screening for atrial fibrillation by digital health technology in older people in homecare settings a feasibility trial |
| url | http://dx.doi.org/10.1155/2024/4080415 |
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