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Screening Versus Routine Practice in Detection of Atrial Fibrillation in the Elderly Population of Lieto (LietoAF)
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Purpose
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.
| Condition | Intervention |
|---|---|
| Atrial Fibrillation Stroke | Other: Subject education to pulse palpation |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: None (Open Label) Primary Purpose: Prevention |
| Official Title: | Screening Versus Routine Practice in Detection of Atrial Fibrillation in the Elderly Population of Lieto |
- 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
- Number of patients with new atrial fibrillation detected during the study [ Time Frame: At 1 year followup ]During the 1 year followup visit information on atrial fibrillation is gathered form the patients records and by interview
- Quality of life [ Time Frame: 1 year followup visit ]EQ5D based evaluation
- New atrial fibrillation at long-term followup [ Time Frame: 5 year control ]Data on atrial fibrillation and thromboembolic complications is gathered from patient records and patient interview
| Enrollment: | 200 |
| Study Start Date: | April 2012 |
| Estimated Study Completion Date: | December 2017 |
| Estimated Primary Completion Date: | November 2016 (Final data collection date for primary outcome measure) |
| Arms | Assigned 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
|
Other: Subject education to pulse palpation
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.
|
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.
Eligibility| Ages Eligible for Study: | 75 Years and older (Senior) |
| Sexes Eligible for Study: | 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
Contacts and LocationsPlease refer to this study by its ClinicalTrials.gov identifier: NCT01721005
| Finland | |
| Härkätie community health center | |
| Lieto, Finland, 21420 | |
| Principal Investigator: | Juhani K Airaksinen, Professor | University of Turku |
More Information
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Juhani Airaksinen, Professor, University of Turku |
| ClinicalTrials.gov Identifier: | NCT01721005 History of Changes |
| Other Study ID Numbers: |
T31/2012 |
| Study First Received: | October 26, 2012 |
| Last Updated: | May 7, 2014 |
Keywords provided by Juhani Airaksinen, University of Turku:
|
atrial fibrillation thromboembolism patient education |
Additional relevant MeSH terms:
|
Atrial Fibrillation Arrhythmias, Cardiac Heart Diseases Cardiovascular Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on September 21, 2017