Screening Versus Routine Practice in Detection of Atrial Fibrillation in the Elderly Population of Lieto
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- University of Turku
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- The willingness to the pulse palpation and competence independently learn to feel own pulse.
Study Overview
Brief Summary
The aim of this study is to evaluate the feasibility of patient education on feeling the own pulse irregularity in the elderly population of Lieto.
Prevalence of atrial fibrillation (AF) rises with age. Subjects have often symptoms like palpitation and discomfort but especially in elderly population there's significant quantity of persons who don't feel any symptoms and fail to seek for medical care for stroke prevention.
The main objectives in this study are to find out the prevalence of AF in the elderly population of Lieto, to assess the feasibility and reability of patient education on feeling one's pulse irregularity and the affect to the quality of life of the participating subjects and monitoring the possible increased burden to the public health care system.
The study contains two office visits with specified learning session and long-term phone-call follow-up.
Detailed Description
The main objectives in this study are to find out the prevalence of AF in the elderly population of Lieto, to assess the feasibility of patient education on feeling one's pulse irregularity and the affect to the quality of life of the participating subjects and monitoring the possible increased burden to the public health care system.
The study contains two office visits with specified learning session and long-term phone-call follow-up. A specially trained nurse will initially give a 10 min education on pulse palpation to each person and evaluate their capacity to learn pulse palpation. During followup visits the compliance of the patient and possible new arrhythmias plus quality of life issues are recorded and their ability of pulse palpation is evaluated by artificial hand where various kinds of pulses are transmitted.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 75 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •patient aged 75 or over
- •inhabitant of Lieto
- •willing to participate
Exclusion Criteria
- •chronic atrial fibrillation
- •ongoing anticoagulant treatment
- •permanent institutional care
Arms & Interventions
pulse palpation education
The subject is educated to pulse palpation by registered cardiac nurse. The education time is limited to 10 minutes and done according preplanned education model
Intervention: Subject education to pulse palpation (Other)
Outcomes
Primary Outcomes
The willingness to the pulse palpation and competence independently learn to feel own pulse.
Time Frame: 1 month control visit
Based on learning session evaluated by nurse and objective evaluation of the learned skills by pulse-arm device and patient's pulse diary
Secondary Outcomes
- Number of patients with new atrial fibrillation detected during the study(At 1 year followup)
Investigators
Juhani Airaksinen
Professor
University of Turku