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Reaching Frail Elderly Patients to Optimize Diagnosis and Management of Atrial Fibrillation (REAFEL): A Feasibility Study of a Cross-Sectoral Shared-Care Model
Introduction: Atrial fibrillation (AF) management in primary care often requires a referral to cardiology clinics, which can be strenuous for frail patients. We developed “cardio-share” (CS), a new cross-sector collaboration model, to ease this process. General practitioners (GPs) can use a compact...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9223795/ https://www.ncbi.nlm.nih.gov/pubmed/35742632 http://dx.doi.org/10.3390/ijerph19127383 |
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author | Ladegaard, Caroline Thorup Bamberg, Carsten Aalling, Mathias Jensen, Dorthea Marie Kamstrup-Larsen, Nina Madsen, Christoffer Valdorff Kamil, Sadaf Gudbergsen, Henrik Saxild, Thomas Schiøtz, Michaela Louise Grew, Julie Castillo, Luana Sandoval Frølich, Anne Domínguez, Helena |
author_facet | Ladegaard, Caroline Thorup Bamberg, Carsten Aalling, Mathias Jensen, Dorthea Marie Kamstrup-Larsen, Nina Madsen, Christoffer Valdorff Kamil, Sadaf Gudbergsen, Henrik Saxild, Thomas Schiøtz, Michaela Louise Grew, Julie Castillo, Luana Sandoval Frølich, Anne Domínguez, Helena |
author_sort | Ladegaard, Caroline Thorup |
collection | PubMed |
description | Introduction: Atrial fibrillation (AF) management in primary care often requires a referral to cardiology clinics, which can be strenuous for frail patients. We developed “cardio-share” (CS), a new cross-sector collaboration model, to ease this process. General practitioners (GPs) can use a compact Holter monitor (C3 from Cortrium) to receive remote advice from the cardiologist. Objective: To test the feasibility and acceptability of the CS model to manage suspected AF in frail elderly patients. Methods: We used a mixed methods design, including the preparation of qualitative semistructured interviews of GPs and nurses. Results: Between MAR-2019 and FEB-2020, 54 patients were consulted through the CS model, of whom 35 underwent C3 Holter monitoring. The time from referral to a final Holter report was shortened from a mean (SD) of 117 (45) days in usual care to 30 days (13) with the CS model. Furthermore, 90% of the patients did not need to attend visits at the cardiology clinic. The GPs and nurses highlighted the ease of using the C3 monitor. Their perception was that patients were confident in the GPs’ collaboration with cardiologists. Conclusions: The CS model using a C3 monitor for AF is both feasible and seems acceptable to GPs. The elapsed time from referral to the Holter report performed for the diagnosis was significantly reduced. |
format | Online Article Text |
id | pubmed-9223795 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-92237952022-06-24 Reaching Frail Elderly Patients to Optimize Diagnosis and Management of Atrial Fibrillation (REAFEL): A Feasibility Study of a Cross-Sectoral Shared-Care Model Ladegaard, Caroline Thorup Bamberg, Carsten Aalling, Mathias Jensen, Dorthea Marie Kamstrup-Larsen, Nina Madsen, Christoffer Valdorff Kamil, Sadaf Gudbergsen, Henrik Saxild, Thomas Schiøtz, Michaela Louise Grew, Julie Castillo, Luana Sandoval Frølich, Anne Domínguez, Helena Int J Environ Res Public Health Article Introduction: Atrial fibrillation (AF) management in primary care often requires a referral to cardiology clinics, which can be strenuous for frail patients. We developed “cardio-share” (CS), a new cross-sector collaboration model, to ease this process. General practitioners (GPs) can use a compact Holter monitor (C3 from Cortrium) to receive remote advice from the cardiologist. Objective: To test the feasibility and acceptability of the CS model to manage suspected AF in frail elderly patients. Methods: We used a mixed methods design, including the preparation of qualitative semistructured interviews of GPs and nurses. Results: Between MAR-2019 and FEB-2020, 54 patients were consulted through the CS model, of whom 35 underwent C3 Holter monitoring. The time from referral to a final Holter report was shortened from a mean (SD) of 117 (45) days in usual care to 30 days (13) with the CS model. Furthermore, 90% of the patients did not need to attend visits at the cardiology clinic. The GPs and nurses highlighted the ease of using the C3 monitor. Their perception was that patients were confident in the GPs’ collaboration with cardiologists. Conclusions: The CS model using a C3 monitor for AF is both feasible and seems acceptable to GPs. The elapsed time from referral to the Holter report performed for the diagnosis was significantly reduced. MDPI 2022-06-16 /pmc/articles/PMC9223795/ /pubmed/35742632 http://dx.doi.org/10.3390/ijerph19127383 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ladegaard, Caroline Thorup Bamberg, Carsten Aalling, Mathias Jensen, Dorthea Marie Kamstrup-Larsen, Nina Madsen, Christoffer Valdorff Kamil, Sadaf Gudbergsen, Henrik Saxild, Thomas Schiøtz, Michaela Louise Grew, Julie Castillo, Luana Sandoval Frølich, Anne Domínguez, Helena Reaching Frail Elderly Patients to Optimize Diagnosis and Management of Atrial Fibrillation (REAFEL): A Feasibility Study of a Cross-Sectoral Shared-Care Model |
title | Reaching Frail Elderly Patients to Optimize Diagnosis and Management of Atrial Fibrillation (REAFEL): A Feasibility Study of a Cross-Sectoral Shared-Care Model |
title_full | Reaching Frail Elderly Patients to Optimize Diagnosis and Management of Atrial Fibrillation (REAFEL): A Feasibility Study of a Cross-Sectoral Shared-Care Model |
title_fullStr | Reaching Frail Elderly Patients to Optimize Diagnosis and Management of Atrial Fibrillation (REAFEL): A Feasibility Study of a Cross-Sectoral Shared-Care Model |
title_full_unstemmed | Reaching Frail Elderly Patients to Optimize Diagnosis and Management of Atrial Fibrillation (REAFEL): A Feasibility Study of a Cross-Sectoral Shared-Care Model |
title_short | Reaching Frail Elderly Patients to Optimize Diagnosis and Management of Atrial Fibrillation (REAFEL): A Feasibility Study of a Cross-Sectoral Shared-Care Model |
title_sort | reaching frail elderly patients to optimize diagnosis and management of atrial fibrillation (reafel): a feasibility study of a cross-sectoral shared-care model |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9223795/ https://www.ncbi.nlm.nih.gov/pubmed/35742632 http://dx.doi.org/10.3390/ijerph19127383 |
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