Opportunistic screening for atrial fibrillation among frail older patients, little effort for a high diagnostic yield. Outcomes of the Dutch-GERAF study

The screening strategy proved feasible in very old and frail patients. A diagnostic yield of 2.7% was found by ECG, and an additional 0.9% of new AF cases were suspected on PPG recordings. The non-binding approach of the strategy might be disadvantageous for the patient category. Future PPG AF screening programmes for very old and frail patients should strictly organise their means of AF confirmation.

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Publication Details

Journal
Age and Ageing
Published
2025-03-28
DOI
https://doi.org/10.1093/ageing/afaf105
Citations
1
Primary Topic
Health Systems, Economic Evaluations, Quality of Life
Type
article
Field-Weighted Citation Impact
3.13
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article

Opportunistic screening for atrial fibrillation among frail older patients, little effort for a high diagnostic yield. Outcomes of the Dutch-GERAF study

Martin E W Hemels, Diana G. Taekema, Leonora Louter, R.W.M.M. Jansen et al.
1 citations
Age and Ageing
Health Systems, Economic Evaluations, Quality of Life
3.13
article

Opportunistic screening for atrial fibrillation among frail older patients, little effort for a high diagnostic yield. Outcomes of the Dutch-GERAF study

Martin E W Hemels, Diana G. Taekema, Leonora Louter, R.W.M.M. Jansen, Kerst de Vries, Jocelyn R Spruit, Ron Pisters, Johan Wold, L A R Zwart, Robert K. Riezebos, Joris R. de Groot
article en
1 citations

Abstract

The screening strategy proved feasible in very old and frail patients. A diagnostic yield of 2.7% was found by ECG, and an additional 0.9% of new AF cases were suspected on PPG recordings. The non-binding approach of the strategy might be disadvantageous for the patient category. Future PPG AF screening programmes for very old and frail patients should strictly organise their means of AF confirmation.

Age and AgeingVol. 54(4)
Albert Schweitzer Hospital (GA), Radboud University Nijmegen (NL), GGZ Noord-Holland-Noord (NL), Albert Schweitzer Ziekenhuis (NL), Public Health Department (IN), Isala (NL), Amsterdam University Medical Centers (NL), Rijnstate Hospital (NL), Meander Medisch Centrum (NL)
Good health and well-being
Openalex Percentile: Top 9%
Health Systems, Economic Evaluations, Quality of Life
3.13
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Opportunistic screening for atrial fibrillation among frail older patients, little effort for a high diagnostic yield. Outcomes of the Dutch-GERAF study — Martin E W Hemels, Diana G. Taekema, et al. · Age and Ageing (2025) | TGRS Research Map | TGRS