{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:53:57Z","timestamp":1747191237757,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T00:00:00Z","timestamp":1711324800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"SIKT GOLD"},{"name":"Agder County Council"},{"name":"Sorlandet Hospital"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Journal of Telemedicine and Applications"],"published-print":{"date-parts":[[2024,3,25]]},"abstract":"<jats:p>Aims. Users of homecare services are often excluded from clinical trials due to advanced age, multimorbidity, and frailty. Atrial fibrillation (AF) is a common and frequently undiagnosed arrhythmia in the elderly and is associated with severe mortality, morbidity, and healthcare costs. Timely identification prevents associated complications through evidence-based treatment. This study is aimed at assessing the feasibility of AF screening using new digital health technology in older people in a homecare setting. Methods. Users of homecare <jats:inline-formula><a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><a:mtext>services<\/a:mtext><a:mo>\u2265<\/a:mo><a:mn>65<\/a:mn><\/a:math><\/jats:inline-formula> years old with at least one additional risk factor for stroke in two Norwegian municipalities were assessed for study participation by nurses. Participants performed a continuous prolonged ECG recording using a patch ECG device (ECG247 Smart Heart Sensor). Results. A total of 144 individuals were assessed for study participation, but only 18 (13%) were included. The main reasons for noninclusion were known AF and\/or anticoagulation therapy (25%), severe cognitive impairment (26%), and lack of willingness to participate (36%). The mean age of participants performing the ECG test was 81 (<jats:inline-formula><c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><c:mtext>SD<\/c:mtext><c:mo>\u00b1<\/c:mo><c:mn>7<\/c:mn><\/c:math><\/jats:inline-formula>) years, and 9 (50%) were women. All ECG tests were interpretable; the mean ECG monitoring time was 104 hours (IQR 34-338 hours). AF was detected in one individual (6%). Conclusion. This feasibility study highlights the challenges of enrolling older people receiving homecare services in clinical trials. However, all included participants performed an interpretable and prolonged continuous ECG recording with a digital ECG patch device. This trial is registered with NCT04700865.<\/jats:p>","DOI":"10.1155\/2024\/4080415","type":"journal-article","created":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T22:20:22Z","timestamp":1711405222000},"page":"1-7","source":"Crossref","is-referenced-by-count":0,"title":["Screening for Atrial Fibrillation by Digital Health Technology in Older People in Homecare Settings: A Feasibility Trial"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1603-3558","authenticated-orcid":true,"given":"Edvard Liljedahl","family":"Sandberg","sequence":"first","affiliation":[{"name":"Sorlandet Hospital, Department of Cardiology, Arendal, Norway"},{"name":"Institute of Clinical Medicine, University of Oslo, Oslo, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7561-7644","authenticated-orcid":true,"given":"Sigrun","family":"Halvorsen","sequence":"additional","affiliation":[{"name":"Institute of Clinical 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