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PubMed

Záznam pochází z PubMed

Awareness campaigns of atrial fibrillation as an opportunity for early detection by pharmacists: an international cross-sectional study

da Costa, Filipa Alves
Autor da Costa, Filipa Alves ORCID Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz (IUEM), Campus Universitário, Quinta da Granja, Monte da Caparica, 2829-511, Caparica, Portugal. alvesdacosta.f@gmail.com Faculdade de Farmácia, The Research Institute for Medicines (iMED.ULisboa), Universidade de Lisboa, Lisbon, Portugal. alvesdacosta.f@gmail.com
Mala-Ladova, Katerina
Autor Mala-Ladova, Katerina Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Kralove, Charles University, Akademika Heyrovského, 1203/8, 500 05, Hradec Kralove, Czech Republic
Lee, Vivian
Autor Lee, Vivian Centre for Learning Enhancement and Research, The Chinese University of Hong Kong, Shatin, Hong Kong
Tous, Salvador
Autor Tous, Salvador Sociedad Española de Farmacia Familiar y Comunitaria SEFAC, Travessera de Gràcia, 56, 08006, Barcelona, Spain
Papastergiou, John
Autor Papastergiou, John Leslie Dan Faculty of Pharmacy, University of Toronto, 144 College St, Toronto, ON, M5S 3M2, Canada
Griffiths, Dale
Autor Griffiths, Dale Westview Pharmacy, 5 Glendale Road, Glen Eden, Auckland, 0602, New Zealand
Chaumais, Marie-Camille
Autor Chaumais, Marie-Camille Faculté de Pharmacie, Hôpital Antoine Béclère, Université Paris-Sud, 157, Rue de la Porte de Trivaux, 92140, Clamart, France
Hersberger, Kurt E
Autor Hersberger, Kurt E Pharmaceutical Care Research Group, University of Basel, Pharmazentrum, Klingelbergstrasse 50, 4056, Basel, Switzerland
Viola, Reka
Autor Viola, Reka Faculty of Pharmacy, University of Szeged, Zrínyi u. 9, Szeged, 6720, Hungary
Paulino, Ema
Autor Paulino, Ema Farmácia Nuno Álvares, Avenida D. Nuno Álvares Pereira, 39-C, Almada, Portugal
Lobban, Trudie
Autor Lobban, Trudie Atrial Fibrillation Association (AF Assoc)/ Arrhythmia Alliance (A-A), AF Association, Unit 6B, Essex House, Cromwell Business Park, Chipping Norton, Oxfordshire, OX7 5SR, UK
Neubeck, Lis
Autor Neubeck, Lis School of Health and Social Care, Edinburgh Napier University, Sighthil Campus, Sighthill Court, Edinburgh, EH11 4BN, Scotland, UK
Freedman, Ben
Autor Freedman, Ben Heart Research Institute, Charles Perkins Centre, University of Sydney, John Hopkins Dr, Camperdown NSW, Sydney, 2006, Australia
Antoniou, Sotiris
Autor Antoniou, Sotiris Barts Health NHS Trust, UCL Partners, 9 Prescot Street Aldgate, London, E1 8PR, UK

Journal of thrombosis and thrombolysis. 2020 May ; 49 (4) : 606-617.

J Thromb Thrombolysis
ISSN 1573-742X | 0929-5305
Zdroj

Jazyk angličtina Země Nizozemsko Médium print

Typ dokumentu časopisecké články, multicentrická studie

Perzistentní odkaz https://www.medvik.cz/link/pmid31782043

PubMed 31782043
DOI 10.1007/s11239-019-02000-x
PII: 10.1007/s11239-019-02000-x
Knihovny.cz E-zdroje

Klíčová slova
Atrial fibrillation, Awareness, Early detection of disease, Pharmacists, Pulse check,
MeSH
časná diagnóza MeSH
dospělí MeSH
farmaceuti * MeSH
fibrilace síní diagnóza MeSH
internacionalita MeSH
lidé středního věku MeSH
lidé MeSH
průřezové studie MeSH
senioři nad 80 let MeSH
senioři MeSH
zdraví - znalosti, postoje, praxe MeSH
zdravotní výchova metody MeSH
Check Tag
dospělí MeSH
lidé středního věku MeSH
lidé MeSH
mužské pohlaví MeSH
senioři nad 80 let MeSH
senioři MeSH
ženské pohlaví MeSH
Publikační typ
časopisecké články MeSH
multicentrická studie MeSH

Atrial fibrillation (AF) accounts for up to one third of strokes, one of the lead mortality causes worldwide. The European Society of Cardiology guidelines recommend opportunistic screening as a means to increase the odds of early detection and institution of appropriate treatment according to risk factors identified. However, in most countries there are various barriers to effective uptake of screening, including low awareness. The Atrial Fibrillation Association is a patient association engaged with raising awareness of AF. Establishing a partnership with the International Pharmacists for Anticoagulation Care Taskforce, we set as goals to test a model for raising awareness of AF involving pharmacists globally; and to identify barriers and enablers to its implementation. A cross-sectional study was conducted during the Arrhythmia Alliance World Heart Rhythm Week. Pharmacists from 10 countries invited individuals (≥ 40 years; without anticoagulation therapy of AF) to participate in the awareness campaign. Participants agreeing were engaged in the early detection of AF (EDAF) using pulse palpation. Individuals with rhythm discrepancies were referred and prospectively assessed to have information on the proportion of confirmed diagnosis, leading to estimate the detection rate. Interviews with country coordinators explored barriers and enablers to implementation. The study involved 4193 participants in the awareness campaign and 2762 in the EDAF event (mean age 65.3 ± 13.0), of whom 46.2% individuals were asymptomatic, recruited across 120 sites. Most common CHA2DS2-VASc risk factor was hypertension. Among 161 patients referred to physician, feedback was obtained for 32 cases, of whom 12 new arrhythmia diagnoses were confirmed (5 for AF, 2 for atrial flutter), all among elders (≥ 65 years). Qualitative evaluation suggested a local champion to enable pharmacists' success; technology enhanced engagement amongst patients and increased pharmacists' confidence in referring to physicians; interprofessional relationship was crucial in success. This study suggests pharmacists can contribute to greater outreach of awareness campaigns. Effective communication pathways for inter-professional collaboration were suggested enablers to gain full benefits of EDAF.

Atrial Fibrillation Association AF Association Unit 6B Essex House Cromwell Business Park Chipping Norton Oxfordshire OX7 5SR UK

Barts Health NHS Trust UCL Partners 9 Prescot Street Aldgate London E1 8PR UK

Centre for Learning Enhancement and Research The Chinese University of Hong Kong Shatin Hong Kong

Centro de Investigação Interdisciplinar Egas Moniz Campus Universitário Quinta da Granja Monte da Caparica 2829 511 Caparica Portugal

Department of Social and Clinical Pharmacy Faculty of Pharmacy in Hradec Kralove Charles University Akademika Heyrovského 1203 8 500 05 Hradec Kralove Czech Republic

Faculdade de Farmácia The Research Institute for Medicines Universidade de Lisboa Lisbon Portugal

Faculté de Pharmacie Hôpital Antoine Béclère Université Paris Sud 157 Rue de la Porte de Trivaux 92140 Clamart France

Faculty of Pharmacy University of Szeged Zrínyi u 9 Szeged 6720 Hungary

Farmácia Nuno Álvares Avenida D Nuno Álvares Pereira 39 C Almada Portugal

Heart Research Institute Charles Perkins Centre University of Sydney John Hopkins Dr Camperdown NSW Sydney 2006 Australia

Leslie Dan Faculty of Pharmacy University of Toronto 144 College St Toronto ON M5S 3M2 Canada

Pharmaceutical Care Research Group University of Basel Pharmazentrum Klingelbergstrasse 50 4056 Basel Switzerland