在养老院使用脉测试和AliveCor Kardia Mobile®设备查心房动:一个比较的横截面试点研究
V Savickas1, A J Stewart2, V J Short3
1Medway School of Pharmacy, University of Kent and University of Greenwich, Chatham Maritime, UK.
International journal of clinical pharmacy
|December 27, 2023
概括
在养老院的心房动 (AF) 查发现了以前未知的病例的高患病率. 早期检测和治疗对于预防这种脆弱人群中风至关重要.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 心房动 (AF) 是一个重要的中风风险因素,特别是在老年人中.
- 养老院居民的AF发病率较高,口服抗凝剂使用率较低.
- 在这个人群中,年龄和并发症加剧了AF风险.
研究的目的:
- 为了评估心房在英国护理家庭环境中的患病率.
- 适应和应用药剂师检测心脏动 (PDAF) 研究方法对养老院居民.
- 评估AF查在住院和护理机构的可行性.
主要方法:
- 在四个英国养老院进行了一项横截面的试点研究.
- 药剂师使用PDAF协议进行AF查,包括手动脉冲检查和通过AliveCor Kardia Mobile的单线心电图 (SL-ECG).
- 心脏病学家对SL-ECGs的审查确定了潜在的AF病例,以便进一步调查和转诊.
主要成果:
- 在112名居民中,有53人参与了查.
- 心脏病专家在记录的SL-ECG中,在13.5% (7/52) 的病例中发现了可能的AF.
- 9.6% (5/52) 的AF病例是新诊断的,其中一名居民开始服用抗凝药.
结论:
- 这项研究证明了AF查计划在养老院环境中的必要性和可行性.
- PDAF查协议元素可以适应养老院的设置.
- 及时诊断和启动AF治疗对于减轻老年护理人员中风风险至关重要.
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