UNASSIGNED:随着时间的推移,关于普遍房颤(AF)及其相关危险因素的移动健康检测的数据有限。
UNASSIGNED:本研究旨在报告随时间变化的房颤检测趋势和危险因素。以消费者为主导的光电体积描记筛查方法。
未经评估:3,499,461名18岁以上的受试者,使用智能设备的人(华为技术有限公司)在2018年10月26日至2021年12月1日期间注册。
未经评估:在2,852,217名房颤筛查对象中,12,244名受试者(0.43%;83.2%男性,平均年龄57±15岁)检测到房颤发作。与2018年相比,风险(调整后的HR,在2020年开始监测时(调整后的HR:1.34;95%CI:1.27-1.40;P<.001)或2021年(调整后的HR:1.67;95%CI:1.59-1.76;P<0.001),受试者的监测普遍AF显着增加。在961,931名同时筛查AF和OSA的受试者中,18032(1.9%,97.8%男性,平均年龄44±17岁)被确定为OSA的高风险,导致房颤患者增加1.5倍(95%CI:1.30倍至1.75倍)。总计5,227(53.3%,5,227/9,797)受试者得到了有效随访,其中4,903(93.8%,4,903/5,227)受试者被确诊为房颤,由MAFATelecare团队健康提供商提供。
UNASSIGNED:基于光电容积描记术的智能设备可以促进房颤筛查,即使对于低风险的普通人群,也有超过93%的房颤发作确认。强调发现普遍AF的风险增加以及需要修改增加AF易感性的OSA。(移动健康[mHealth]改进筛查技术,房颤患者参与和优化综合护理[MAFA(mAF-App)II研究];ChiCTR-OOC-17014138)。
UNASSIGNED: There are limited data on mobile health detection of prevalent atrial fibrillation (AF) and its related risk factors over time.
UNASSIGNED: This study aimed to report the trends on prevalent AF detection over time and risk factors, with a consumer-led photoplethysmography screening approach.
UNASSIGNED: 3,499,461 subjects aged over 18 years, who use smart devices (Huawei Technologies Co.) were enrolled between October 26, 2018, and December 1, 2021.
UNASSIGNED: Among 2,852,217 subjects for AF screening, 12,244 subjects (0.43%; 83.2% male, mean age 57 ± 15 years) detected AF episodes. When compared with 2018, the risk (adjusted HRs, 95% CI) for monitored prevalent AF increased significantly for subjects when monitoring started in 2020 (adjusted HR: 1.34; 95% CI: 1.27-1.40; P < .001) or in 2021 (adjusted HR: 1.67; 95% CI: 1.59-1.76; P < 0.001). Of the 961,931 subjects who screening for both AF and OSA, 18,032 (1.9%, 97.8% male, mean age 44 ±17 years) were identified as high risk for OSA, which resulted in a 1.5-fold increase (95% CI: 1.30-fold to 1.75-fold) in the prevalent AF. A total of 5,227 (53.3%, 5,227/9,797) subjects were effectively followed up, from which 4,903 (93.8%, 4,903/5,227) subjects were confirmed with the diagnosis of AF, by the mAFA Telecare Team health providers.
UNASSIGNED: Photoplethysmography-based smart devices can facilitate screening for AF with >93% confirmation of detected AF episodes even for the low-risk general population, highlighting the increased risk for detecting prevalent AF and the need for modification of OSA that increase AF susceptibility. (Mobile Health [mHealth] Technology for Improved Screening, Patient Involvement and Optimizing Integrated Care in Atrial Fibrillation [mAFA (mAF-App) II study]; ChiCTR-OOC-17014138).