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dc.contributor.authorGonzález Blanco, Virginia
dc.contributor.authorPérula de Torres, Luis Ángel
dc.contributor.authorMartín Rioboó, Enrique
dc.contributor.authorMartínez Adell, Miguel Ángel
dc.contributor.authorParras Rejano, Juan Manuel
dc.contributor.authorGonzález Lama, Jesús
dc.contributor.authorRuiz Moruno, Javier
dc.contributor.authorMartín Alvarez, Remedios
dc.contributor.authorFernández García, José Ángel
dc.contributor.authorRuiz de Castroviejo, Joaquín
dc.contributor.authorRoldán Villalobos, Ana
dc.contributor.authorRuiz Moral, Roger 
dc.date.accessioned2017-04-21T11:11:52Z
dc.date.available2017-04-21T11:11:52Z
dc.date.issued2017
dc.identifier.issn1578-8989
dc.identifier.urihttp://hdl.handle.net/10641/1296
dc.description.abstractObjective: The goal of this study was to assess the effectiveness of opportunistic screening through pulse palpation in the early detection of atrial fibrillation in subjects aged ≥ 65 years versus detection through an active search for patients with symptoms and/or complications and sequelae associated. -Material and methods: This was a cluster randomized controlled trial performed in 48 primary care centers of the Spanish National Healthcare System. A total of 368 physicians and nurses were randomized. The researchers in the Experimental Group (EG) performed opportunistic screening for auricular fibrillation, whereas the researchers in the Control Group (CG) actively searched for symptomatic patients. An ECG was performed on patients found to have an irregular heartbeat to confirm the diagnosis of auricular fibrillation. -Results: A total of 5,465 patients with a mean age of 75.61 were recruited for the EG, and 1,525 patients with a mean age of 74.07 were recruited for the CG. Of these, 58.6% were female, without significant differences between groups. Pulse was irregular in 4.3% and 15.0% of the patients in the EG and the CG, respectively (p<0.001). A total of 165 new cases of atrial fibrillation were detected (2.3%), 1.1% in the EG and 6.7% in the CG (adjusted OR: 0.29; 95%CI: 0.18-0.45). -Conclusions: Case finding for atrial fibrilation in patients aged ≥ 65 years with symptoms or signs suggestive of atrial fibrilation is a more effective strategy than opportunistic screening through pulse palpation in asymptomatic patients.eng
dc.language.isoengspa
dc.publisherMedicina Clínicaspa
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.subjectFibrilación auricularspa
dc.subjectCribado oportunistaspa
dc.subjectRitmo Cardiacospa
dc.titleOpportunistic screening for atrial fibrillation versus detecting symptomatic patients aged 65 years and older: a cluster-controlled clinical trial.spa
dc.typearticlespa
dc.description.versionpre-printspa
dc.rights.accessRightsopenAccessspa
dc.description.extent325 KBspa


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