dc.contributor.author | Sandberg, Edvard Liljedahl | |
dc.contributor.author | Halvorsen, Sigrun | |
dc.contributor.author | Berge, Trygve | |
dc.contributor.author | Grimsmo, Jostein | |
dc.contributor.author | Atar, Dan | |
dc.contributor.author | Grenne, Bjørnar Leangen | |
dc.contributor.author | Jortveit, Jarle | |
dc.date.accessioned | 2024-08-26T11:44:05Z | |
dc.date.available | 2024-08-26T11:44:05Z | |
dc.date.created | 2024-04-26T08:31:43Z | |
dc.date.issued | 2024 | |
dc.identifier.citation | International Journal of Telemedicine and Applications. 2024, 2024 (1), 1-7. | en_US |
dc.identifier.issn | 1687-6415 | |
dc.identifier.uri | https://hdl.handle.net/11250/3148506 | |
dc.description.abstract | 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. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Wiley | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Screening for Atrial Fibrillation by Digital Health Technology in Older People in Homecare Settings: A Feasibility Trial | en_US |
dc.title.alternative | Screening for Atrial Fibrillation by Digital Health Technology in Older People in Homecare Settings: A Feasibility Trial | en_US |
dc.type | Journal article | en_US |
dc.type | Peer reviewed | en_US |
dc.description.version | publishedVersion | en_US |
dc.source.pagenumber | 1-7 | en_US |
dc.source.volume | 2024 | en_US |
dc.source.journal | International Journal of Telemedicine and Applications | en_US |
dc.source.issue | 1 | en_US |
dc.identifier.doi | 10.1155/2024/4080415 | |
dc.identifier.cristin | 2264674 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |