Nicole Lowres
Screening education and recognition in community pHarmacies of atrial fibrillation to prevent stroke in an ambulant population aged ≥65 years (SEARCH-AF stroke prevention study): a cross-sectional study protocol
Lowres, Nicole; Freedman, Saul Benedict; Redfern, Julie; McLachlan, Andrew; Krass, Ines; Bennett, Alexandra; Briffa, Thomas; Bauman, Adrian; Neubeck, Lis
Authors
Saul Benedict Freedman
Julie Redfern
Andrew McLachlan
Ines Krass
Alexandra Bennett
Thomas Briffa
Adrian Bauman
Prof Lis Neubeck L.Neubeck@napier.ac.uk
Professor
Abstract
Background Atrial fibrillation (AF) is associated with a high risk of stroke and may often be asymptomatic. AF is commonly undiagnosed until patients present with sequelae, such as heart failure and stroke. Stroke secondary to AF is highly preventable with the use of appropriate thromboprophylaxis. Therefore, early identification and appropriate evidence-based management of AF could lead to subsequent stroke prevention. This study aims to determine the feasibility and impact of a community pharmacy-based screening programme focused on identifying undiagnosed AF in people aged 65 years and older.
Methods and analysis This cross-sectional study of community-based screening to identify undiagnosed AF will evaluate the feasibility of screening for AF using a pulse palpation and handheld single-lead electrocardiograph (ECG) device. 10 community pharmacies will be recruited and trained to implement the screening protocol, targeting a total of 1000 participants. The primary outcome is the proportion of people newly identified with AF at the completion of the screening programme. Secondary outcomes include level of agreement between the pharmacist's and the cardiologist's interpretation of the single-lead ECG; level of agreement between irregular rhythm identified with pulse palpation and with the single-lead ECG. Process outcomes related to sustainability of the screening programme beyond the trial setting, pharmacist knowledge of AF and rate of uptake of referral to full ECG evaluation and cardiology review will also be collected.
Citation
Lowres, N., Freedman, S. B., Redfern, J., McLachlan, A., Krass, I., Bennett, A., …Neubeck, L. (2012). Screening education and recognition in community pHarmacies of atrial fibrillation to prevent stroke in an ambulant population aged ≥65 years (SEARCH-AF stroke prevention study): a cross-sectional study protocol. BMJ Open, 2(3), Article e001355. https://doi.org/10.1136/bmjopen-2012-001355
Journal Article Type | Article |
---|---|
Acceptance Date | May 21, 2012 |
Online Publication Date | Jun 25, 2012 |
Publication Date | 2012 |
Deposit Date | Nov 2, 2016 |
Publicly Available Date | Nov 2, 2016 |
Journal | BMJ Open |
Print ISSN | 2044-6055 |
Electronic ISSN | 2044-6055 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 2 |
Issue | 3 |
Article Number | e001355 |
DOI | https://doi.org/10.1136/bmjopen-2012-001355 |
Keywords | Atrial fibrillation, stroke, adults, |
Public URL | http://researchrepository.napier.ac.uk/Output/411002 |
Files
Screening education and recognition in community pHarmacies of atrial fibrillation to prevent stroke in an ambulant population aged ≥65 years (SEARCH-AF stroke prevention study): a cross-sectional study protocol
(442 Kb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by-nc/2.0/
Copyright Statement
This final article is available for use under the terms of the Creative Commons Attribution Non-Commercial 2.0 Licence; see http://bmjopen.bmj.com
You might also like
Not all steps are equal: Changing algorithms in wearable trackers changes outcomes.
(2017)
Journal Article
Social media practices on Twitter: maximising the impact of cardiac associations
(2016)
Journal Article
Downloadable Citations
About Edinburgh Napier Research Repository
Administrator e-mail: repository@napier.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search