GrippePaysBasV1, Main, Exploration, bibRecord, 000063

Yield of screening for atrial fibrillation in primary care with a hand-held, single-lead electrocardiogram device during influenza vaccination.

Identifieur interne : 000063 ( Main/Exploration ); précédent : 000062; suivant : 000064

Yield of screening for atrial fibrillation in primary care with a hand-held, single-lead electrocardiogram device during influenza vaccination.

Auteurs : Femke Kaasenbrood [Pays-Bas] ; Monika Hollander [Pays-Bas] ; Frans H. Rutten [Pays-Bas] ; Leo J. Gerhards [Pays-Bas] ; Arno W. Hoes [Pays-Bas] ; Robert G. Tieleman [Pays-Bas]

Source :

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 [ 1532-2092 ] ; 2016.

RBID : pubmed:26851813

Descripteurs français

KwdFr :
- Accident vasculaire cérébral (complications), Adulte (MeSH), Adulte d'âge moyen (MeSH), Analyse multifactorielle (MeSH), Dépistage de masse (méthodes), Femelle (MeSH), Fibrillation auriculaire (diagnostic), Fibrillation auriculaire (épidémiologie), Humains (MeSH), Modèles logistiques (MeSH), Mâle (MeSH), Pays-Bas (épidémiologie), Répartition par sexe (MeSH), Répartition par âge (MeSH), Soins de santé primaires (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vaccins antigrippaux (administration et posologie), Électrocardiographie (instrumentation).
MESH :
- administration et posologie : Vaccins antigrippaux.
- diagnostic : Fibrillation auriculaire.
- méthodes : Dépistage de masse.
- épidémiologie : Fibrillation auriculaire, Pays-Bas, Électrocardiographie.
- complications : Accident vasculaire cérébral, Adulte, Adulte d'âge moyen, Analyse multifactorielle, Femelle, Humains, Modèles logistiques, Mâle, Répartition par sexe, Répartition par âge, Soins de santé primaires, Sujet âgé, Sujet âgé de 80 ans ou plus.

English descriptors

KwdEn :
- Adult (MeSH), Age Distribution (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Atrial Fibrillation (diagnosis), Atrial Fibrillation (epidemiology), Electrocardiography (instrumentation), Female (MeSH), Humans (MeSH), Influenza Vaccines (administration & dosage), Logistic Models (MeSH), Male (MeSH), Mass Screening (methods), Middle Aged (MeSH), Multivariate Analysis (MeSH), Netherlands (epidemiology), Primary Health Care (MeSH), Sex Distribution (MeSH), Stroke (complications).
MESH :
- chemical , administration & dosage : Influenza Vaccines.
- complications : Stroke.
- diagnosis : Atrial Fibrillation.
- epidemiology : Atrial Fibrillation, Netherlands.
- instrumentation : Electrocardiography.
- methods : Mass Screening.
- Adult, Age Distribution, Aged, Aged, 80 and over, Female, Humans, Logistic Models, Male, Middle Aged, Multivariate Analysis, Primary Health Care, Sex Distribution.

Abstract

AIMS

To assess the yield of screening for atrial fibrillation (AF) with a hand-held single-lead electrocardiogram (ECG) device during influenza vaccination in primary care in the Netherlands.

METHODS AND RESULTS

We used the MyDiagnostick to screen for AF in persons who participated in influenza vaccination sessions of ten Dutch primary care practices. In case of suspected AF detection by the stick, the recorded 1-min ECG registrations were analysed by a cardiologist. We scrutinized electronic medical files of the general practitioners to obtain information about the cases screened. Multivariable logistic regression analysis was performed to predict the relation between patient characteristics and a new screen-detected diagnosis of AF. In total, 3269 persons were screened for AF during the influenza vaccination sessions of 10 general practitioner practices. As a result, 37 (1.1%) new cases of AF were detected. Prior transient ischeamic attack or stroke (OR 6.05; 95%CI 1.93-19.0), and age (OR 1.09 per year; 95% CI 1.05-1.14) were independent predictors for such newly screen-detected AF. Of the 37 screen-detected AF cases, 2.7% had a CHA

CONCLUSIONS

Screening seems feasible with an easy to use single-lead, hand-held ECG device with automatic AF detection during influenza vaccination in primary care and results in a '1-day' yield of 1.1% new cases of AF.

TRIAL REGISTRATION CLINICALTRIALSGOV

NCT02006524.

DOI: 10.1093/europace/euv426
PubMed: 26851813
PubMed Central: PMC5072135

Affiliations:

Pays-Bas

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000072
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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Age Distribution (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Atrial Fibrillation (diagnosis)</term>
<term>Atrial Fibrillation (epidemiology)</term>
<term>Electrocardiography (instrumentation)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza Vaccines (administration & dosage)</term>
<term>Logistic Models (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mass Screening (methods)</term>
<term>Middle Aged (MeSH)</term>
<term>Multivariate Analysis (MeSH)</term>
<term>Netherlands (epidemiology)</term>
<term>Primary Health Care (MeSH)</term>
<term>Sex Distribution (MeSH)</term>
<term>Stroke (complications)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral (complications)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Analyse multifactorielle (MeSH)</term>
<term>Dépistage de masse (méthodes)</term>
<term>Femelle (MeSH)</term>
<term>Fibrillation auriculaire (diagnostic)</term>
<term>Fibrillation auriculaire (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Modèles logistiques (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pays-Bas (épidémiologie)</term>
<term>Répartition par sexe (MeSH)</term>
<term>Répartition par âge (MeSH)</term>
<term>Soins de santé primaires (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Vaccins antigrippaux (administration et posologie)</term>
<term>Électrocardiographie (instrumentation)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term>
</keywords>
<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Atrial Fibrillation</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Fibrillation auriculaire</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Atrial Fibrillation</term>
<term>Netherlands</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Electrocardiography</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mass Screening</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Dépistage de masse</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Fibrillation auriculaire</term>
<term>Pays-Bas</term>
<term>Électrocardiographie</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Age Distribution</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Primary Health Care</term>
<term>Sex Distribution</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse multifactorielle</term>
<term>Femelle</term>
<term>Humains</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Répartition par sexe</term>
<term>Répartition par âge</term>
<term>Soins de santé primaires</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en"><p><b>AIMS</b>
</p>
<p>To assess the yield of screening for atrial fibrillation (AF) with a hand-held single-lead electrocardiogram (ECG) device during influenza vaccination in primary care in the Netherlands.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS AND RESULTS</b>
</p>
<p>We used the MyDiagnostick to screen for AF in persons who participated in influenza vaccination sessions of ten Dutch primary care practices. In case of suspected AF detection by the stick, the recorded 1-min ECG registrations were analysed by a cardiologist. We scrutinized electronic medical files of the general practitioners to obtain information about the cases screened. Multivariable logistic regression analysis was performed to predict the relation between patient characteristics and a new screen-detected diagnosis of AF. In total, 3269 persons were screened for AF during the influenza vaccination sessions of 10 general practitioner practices. As a result, 37 (1.1%) new cases of AF were detected. Prior transient ischeamic attack or stroke (OR 6.05; 95%CI 1.93-19.0), and age (OR 1.09 per year; 95% CI 1.05-1.14) were independent predictors for such newly screen-detected AF. Of the 37 screen-detected AF cases, 2.7% had a CHA</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Screening seems feasible with an easy to use single-lead, hand-held ECG device with automatic AF detection during influenza vaccination in primary care and results in a '1-day' yield of 1.1% new cases of AF.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>TRIAL REGISTRATION CLINICALTRIALSGOV</b>
</p>
<p>NCT02006524.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26851813</PMID>
<DateCompleted><Year>2017</Year>
<Month>08</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised><Year>2018</Year>
<Month>11</Month>
<Day>13</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2092</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>18</Volume>
<Issue>10</Issue>
<PubDate><Year>2016</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>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</Title>
<ISOAbbreviation>Europace</ISOAbbreviation>
</Journal>
<ArticleTitle>Yield of screening for atrial fibrillation in primary care with a hand-held, single-lead electrocardiogram device during influenza vaccination.</ArticleTitle>
<Pagination><MedlinePgn>1514-1520</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">To assess the yield of screening for atrial fibrillation (AF) with a hand-held single-lead electrocardiogram (ECG) device during influenza vaccination in primary care in the Netherlands.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">We used the MyDiagnostick to screen for AF in persons who participated in influenza vaccination sessions of ten Dutch primary care practices. In case of suspected AF detection by the stick, the recorded 1-min ECG registrations were analysed by a cardiologist. We scrutinized electronic medical files of the general practitioners to obtain information about the cases screened. Multivariable logistic regression analysis was performed to predict the relation between patient characteristics and a new screen-detected diagnosis of AF. In total, 3269 persons were screened for AF during the influenza vaccination sessions of 10 general practitioner practices. As a result, 37 (1.1%) new cases of AF were detected. Prior transient ischeamic attack or stroke (OR 6.05; 95%CI 1.93-19.0), and age (OR 1.09 per year; 95% CI 1.05-1.14) were independent predictors for such newly screen-detected AF. Of the 37 screen-detected AF cases, 2.7% had a CHA<sub>2</sub>
DS<sub>2</sub>
-VASc of 0, 18.9% a score of 1, and 78.4% a score of 2 or more. The majority needed oral anticoagulant therapy.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Screening seems feasible with an easy to use single-lead, hand-held ECG device with automatic AF detection during influenza vaccination in primary care and results in a '1-day' yield of 1.1% new cases of AF.</AbstractText>
<AbstractText Label="TRIAL REGISTRATION CLINICALTRIALSGOV" NlmCategory="UNASSIGNED">NCT02006524.</AbstractText>
<CopyrightInformation>© The Author 2016. Published by Oxford University Press on behalf of the European Society of Cardiology.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kaasenbrood</LastName>
<ForeName>Femke</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Strat 6.131, PO Box 85500, Utrecht 3508 GA, The Netherlands f.kaasenbrood@umcutrecht.nl.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hollander</LastName>
<ForeName>Monika</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Strat 6.131, PO Box 85500, Utrecht 3508 GA, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Rutten</LastName>
<ForeName>Frans H</ForeName>
<Initials>FH</Initials>
<AffiliationInfo><Affiliation>Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Strat 6.131, PO Box 85500, Utrecht 3508 GA, The Netherlands.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Gerhards</LastName>
<ForeName>Leo J</ForeName>
<Initials>LJ</Initials>
<AffiliationInfo><Affiliation>Department of Cardiology, Martini Hospital Groningen, Van Swietenplein 1, Groningen 9728 NT, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hoes</LastName>
<ForeName>Arno W</ForeName>
<Initials>AW</Initials>
<AffiliationInfo><Affiliation>Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Strat 6.131, PO Box 85500, Utrecht 3508 GA, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tieleman</LastName>
<ForeName>Robert G</ForeName>
<Initials>RG</Initials>
<AffiliationInfo><Affiliation>Department of Cardiology, Martini Hospital Groningen, Van Swietenplein 1, Groningen 9728 NT, The Netherlands.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Cardiology, University Medical Center Groningen, Hanzeplein 1, Groningen 9713 GZ, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName>
<AccessionNumberList><AccessionNumber>NCT02006524</AccessionNumber>
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Yield of screening for atrial fibrillation in primary care with a hand-held, single-lead electrocardiogram device during influenza vaccination.

Yield of screening for atrial fibrillation in primary care with a hand-held, single-lead electrocardiogram device during influenza vaccination.

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