Volume 20 Issue 7
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(7): 1230-1234
GAO Chen-xi, CHEN Qing-yong. Systematic Review on the Efficacy of Atrial Fibrillation Screening Using Wearable Devices[J]. Chinese Journal of General Practice, 2022, 20(7): 1230-1234. doi: 10.16766/j.cnki.issn.1674-4152.002565
Citation: GAO Chen-xi, CHEN Qing-yong. Systematic Review on the Efficacy of Atrial Fibrillation Screening Using Wearable Devices[J]. Chinese Journal of General Practice, 2022, 20(7): 1230-1234. doi: 10.16766/j.cnki.issn.1674-4152.002565
shu

Systematic Review on the Efficacy of Atrial Fibrillation Screening Using Wearable Devices

doi: 10.16766/j.cnki.issn.1674-4152.002565
  • 1.

    Department of General Practice, West-China Hospital, Sichuan University, Chengdu, Sichuan 610041, China

Funds:

 2019YFC1709003

  • Received Date: 2021-12-15
    Available Online: 2022-09-23
    Abstract
  •   Objective  To carry out a systematic review of randomised controlled trial (RCT) studies on atrial fibrillation (AF) detection rates by wearable devices and provide the integrated evidence in supporting the clinical application of wearable devices that have been shown to be significantly effective in enhancing AF detection rates.  Methods  MEDLINE (PubMed), Ovid, Clinical Trials, Wanfang Medical Network and CNKI databases were searched for RCT studies on AF screening efficacy using wearable devices, published from establishment of the databases to October 30, 2021. The data related to AF detection rates were extracted, summarised and analysed according to "Preferred Reporting Items for Systematic Reviews and Meta-Analyses".  Results  A total of 11 RCT papers with a total of 41 565 intention-to-screen participants were identified. On continuous ECG(cECG) patches, 5 RCTs showed significantly higher AF detection rates compared with conventional detection methods. Of 6 RCT studies on handheld intermittent ECG detection devices, only 2 showed significantly higher AF detection rates compared with conventional methods.  Conclusion  AF can be more effectively screened using continuous cECG-based wearable devices compared with conventional detection methods. The effect of handheld intermittent ECG devices on AF screening was inconsistent, and further research is needed.

     

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