Quality of care among patients diagnosed with atrial fibrillation in Greenland.

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Marie Tolver Nielsen, Maja Hykkelbjerg Nielsen, Stig Andersen, Sam Riahi, Uka Wilhjelm Geisler, Michael Lynge Pedersen, Nadja Albertsen
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Abstract

This cross-sectional study sought to assess the prevalence of atrial fibrillation (AF) diagnosis in Greenland among various age groups and examine the corresponding quality of care. We collected data from Greenland's electronic medical records and evaluated the quality of care using six internationally recommended indicators, which are: percentage of AF patients with an assessment of smoking status within the previous year, an assessment of body mass index within the previous year, assessment of blood pressure within the previous year, measurement of thyroid stimulating hormone (TSH), treatment with an anticoagulant and percentage of patients with a measurement of serum-creatinine. We found the prevalence of AF among patients aged 20 years or older in Greenland to be 1.75% (95% CI 1.62-1.88). We found an increasing prevalence of AF with age and a greater proportion of men than women until the age of 74 years. Our study suggests that the associated quality of care could be higher as the requirement of only one of the six quality indicators was met. A lack of registration may partly explain this, and initiatives to improve the quality of care are recommended.

格陵兰确诊心房颤动患者的护理质量。
这项横断面研究旨在评估格陵兰岛各年龄组心房颤动(房颤)的诊断率,并检查相应的护理质量。我们从格陵兰的电子病历中收集了数据,并采用国际推荐的六项指标对护理质量进行了评估,这六项指标分别是:前一年内进行过吸烟状况评估的房颤患者比例、前一年内进行过体重指数评估的患者比例、前一年内进行过血压评估的患者比例、促甲状腺激素(TSH)测量的患者比例、接受过抗凝剂治疗的患者比例以及测量过血清肌酐的患者比例。我们发现格陵兰 20 岁或以上患者的房颤患病率为 1.75%(95% CI 1.62-1.88)。我们发现心房颤动的患病率随着年龄的增长而增加,而且在 74 岁之前,男性的比例高于女性。我们的研究表明,相关的护理质量可能更高,因为只达到了六项质量指标中的一项要求。缺乏登记可能是造成这种情况的部分原因,建议采取措施提高护理质量。
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来源期刊
International Journal of Circumpolar Health
International Journal of Circumpolar Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.10
自引率
15.40%
发文量
51
审稿时长
6-12 weeks
期刊介绍: The International Journal of Circumpolar Health is published by Taylor & Francis on behalf of the Circumpolar Health Research Network [CircHNet]. The journal follows the tradition initiated by its predecessor, Arctic Medical Research. The journal specializes in circumpolar health. It provides a forum for many disciplines, including the biomedical sciences, social sciences, and humanities as they relate to human health in high latitude environments. The journal has a particular interest in the health of indigenous peoples. It is a vehicle for dissemination and exchange of knowledge among researchers, policy makers, practitioners, and those they serve. International Journal of Circumpolar Health welcomes Original Research Articles, Review Articles, Short Communications, Book Reviews, Dissertation Summaries, History and Biography, Clinical Case Reports, Public Health Practice, Conference and Workshop Reports, and Letters to the Editor.
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