the Dutch-GERAF Study

N/AActive Not RecruitingNCT05337202

Dijklander Ziekenhuis1,075 enrolled

Overview

Geriatric patients are at high risk of cardiovascular complications, and for the development of atrial fibrillation. Often atrial fibrillation exists in these patients without specific symptoms, and could therefore remain unknown. Furthermore, concerns exist about the bleeding profile of anticoagulation in the very elderly or frail patients. This study applies opportunistic screening for atrial fibrillation as advised in the latest ESC Guideline on the diagnosis and management of atrial fibrillation. Furthermore, multiple bleeding risk scores will be applies, to better assess the bleeding risk in very elderly or frail patients.

Study Type

OBSERVATIONAL

Enrollment

1,075

Conditions

Atrial Fibrillation Frailty Major Bleed

Interventions

HeartSDKDEVICE

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: All newly referred patients of 65 years and older that visit geriatric outpatient services are eligible (including Fall clinic, Memory clinic, Pre-operative geriatric assessment clinic, or any other geriatric outpatient clinics that are led by a geriatrician). Exclusion Criteria: * The patient has a pacemaker or implantable cardioverter defibrillator. * The patient is known with a severe dementia, MoCA ≤ 15 points. * The patient has a severe tremor, from whatever cause, and thus is unable to use the PPG based smartphone AF detection algorithm.

Locations (6)

Rijnstate

Arnhem, Gelderland, Netherlands

Dijklander Ziekenhuis

Hoorn, North Holland, Netherlands

Noordwest ziekenhuisgroep

Alkmaar, Netherlands

Meander Medisch Centrum

Amersfoort, Netherlands

Onze Lieve Vrouwe Gasthuis

Amsterdam, Netherlands

Albert Schweitzer Ziekenhuis

Dordrecht, Netherlands

Outcomes

Primary Outcomes

Newly identified cases of atrial fibrillation

PPG or ECG detected new cases of atrial fibrillation

Time frame: The first 6 months after recruitment for the study