在初级保健中查和检测心房动:当前的做法和未来的前景
Tessa Brik1,2, Ralf E Harskamp1,2, Jelle C L Himmelreich1,2
1Department of General Practice, Amsterdam UMC location University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
概括
在初级保健中查心房动 (AF) 可以通过早期检测病情来改善结果. 本综述探讨了有效的AF查和初级保健机构综合护理的证据和策略.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 心房动 (AF) 是一种普遍的心律失常,增加了中风风险.
- 有效的预防和综合护理可以降低心血管风险和AF并发症.
- 通过查早期检测AF可以改善长期患者的结果.
研究的目的:
- 审查初级保健机构对AF查的证据.
- 讨论当前的AF检测实践,查试验证据和利益相关者的观点.
- 概述一个以初级保健为中心的AF查试验,与持续护理相结合.
主要方法:
- 在初级保健中对AF查的文献评论.
- 来自初级保健AF查试验的证据分析.
- 检查利益相关者对障碍和促进者的看法.
- 拟议的试验框架的开发.
主要成果:
- 由于其在医疗保健中的核心作用,初级保健是AF查的最佳位置.
- 来自试验的证据表明,AF查具有潜在的益处.
- 利益相关者的观点突出了实施的关键障碍和促进者.
- 综合护理对于最大限度地提高查效益至关重要.
结论:
- 基于初级保健的AF查具有改善患者结果的巨大潜力.
- 解决已识别的障碍和促进者对于成功实施至关重要.
- 一个以初级保健为中心的试验与综合保健相结合,可以进一步提高AF查的好处.
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