Reaching the Frail Elderly for the Diagnosis and Management of Atrial Fibrillation-REAFEL.

ABSTRACT:

Background

Frail elderly patients are exposed to suffering strokes if they do not receive timely anticoagulation to prevent stroke associated to atrial fibrillation (AF). Evaluation in the cardiological ambulatory can be cumbersome as it often requires repeated visits.

Aim

To develop and implement CardioShare, a shared-care model where primary care leads patient management, using a compact Holter monitor device with asynchronous remote support from cardiologists.

Methods

CardioShare was developed in a feasibility phase, tested in a pragmatic cluster randomization trial (primary care clinics as clusters), and its implementation potential was evaluated with an escalation test. Mixed methods were used to evaluate the impact of this complex intervention, comprising quanti

SUBMITTER: Bamberg C 

PROVIDER: S-EPMC10530387 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature