Table 2: Characteristics of Large-scale Systematic Community Atrial Fibrillation Screening Studies (>4,000 Individuals).
Study | Number of participants | Target population | Mean age (years) | Response rate (%) | Screening tool | Confirmation with 12-lead ECG | Total AF detected, n (%) | Previously undiagnosed AF detected, n (%) | Patients* indicated and given OAC, n (%) | NNS |
---|---|---|---|---|---|---|---|---|---|---|
Furberg et al. 1994[10] | 5,151 | Random sample of citizens from Medicare eligibility lists from four US communities | N/A (≥65) | 57.6 | 12-lead ECG | N/A | 277 (5.4) | 77 (1.49) | N/A | 67 |
Meschia et al. 2010[11] | 29,861 | Black Americans and residents of the southeastern ‘stroke belt region’ in the US | 74.0 (median) | 49.0 | 7- or 12-lead ECG | N/A | 432 (1.4) | 174 (0.58) | 85 (48.9) | 172 |
Schnabel et al. 2012[12] | 5,000 | Persons aged 35–74 from the city of Mainz and Mainz- Bingen region in Germany | 52.2 | 60.4 | 12-lead ECG | N/A | 161 (3.2) | 25 (0.5) | N/A | 200 |
Frewen et al. 2013[13] | 4,890 | Community dwelling citizens aged ≥50 years in the Republic of Ireland | 63.8 | 37.1 | 3-lead ECG | No | 118 (2.4) | 45 (0.92) | N/A | 109 |
Svennberg et al. 2015[14] | 7,173 | 75–76-year-old population in Stockholm county or the Halland region in Sweden | N/A | 53.8 | 1-lead ECG | No | 884 (12.3) with history plus ECG | 218 (3) | 203 (93) | Single ECG: 200 Twice daily ECG for 2 weeks: 33 |
Chan et al. 2016[2] | 13,122 | Untargeted voluntary participation by Hong Kong citizens aged ≥18 years | 64.7 | N/A | 1-lead ECG | No | 239 (1.8) | 101 (0.8) | N/A | 129 |
Proietti et al. 2016[15] | 65,747 | Untargeted voluntary participation by Belgian citizens | 58.0 (median) | N/A | 1-lead ECG | Yes when 1-lead ECG unclear | 911 (1.4) | 603 (0.92) | N/A | 109 |
Chan et al. 2017[16] | 10,735 | Untargeted voluntary participation by Hong Kong citizens aged ≥50 years | 78.6 | N/A | 1-lead ECG | No | 244 (2.3) | 74 (0.69) | 17 (24) | 145 |
*with previously undiagnosed AF. AF = atrial fibrillation; N/A = not applicable; NNS = number-needed-to-screen for one patient with newly diagnosed atrial fibrillation; OAC = oral anticoagulation.