Global public awareness about atrial fibrillation.
Global public awareness about atrial fibrillation.
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DOI：
10.1002/rth2.12051
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发表时间：
2018-01
影响因子：
4.6
通讯作者：
Weitz JI
中科院分区：
文献类型：
--
作者：
Wendelboe AM;Raskob GE;Angchaisuksiri P;Blanco AN;Büller H;Ddungu H;Dvorak JD;Hunt BJ;Hylek EM;Kakkar A;Konstantinides SV;McCumber M;McLintock C;Urano T;Weitz JI
心房颤动的早期识别有助于预防中风。在10个国家进行调查，以评估公众对房颤的认识。房颤的总体全球知晓率为48%。不到46%的参与者知道房颤会导致中风。心房颤动（AF）是缺血性卒中的重要原因，通常在卒中发生前未被发现。了解风险因素和症状是很重要的，这样可以诊断房颤并给予血栓预防。然而，公众对AF的认识程度是不确定的。我们评估了六大洲公众对房颤的认识，并将其与其他血栓性和非血栓性疾病进行了比较。2016年9月至10月，我们与Ipsos-Reid合作，在10个国家进行了一项基于互联网的横断面调查：阿根廷、澳大利亚、加拿大、德国、日本、泰国、荷兰、乌干达、英国和美国。参与者从加权、年龄分层类别（40 - 60岁、61 - 74岁和≥75岁）的调查小组中选择。该调查包括11个关于人口统计学的问题，并评估了对AF以及其他血栓性和非血栓性疾病的认识。计算比例和95%置信区间（CI）。在总计6312名受访者中，AF的总体知晓率为48%（95% CI，46 - 50%），低于除深静脉血栓形成外的其他血栓性和非血栓性疾病的知晓率（知晓率43%，95% CI，41 - 45%）。各国对AF的认识范围为25%至69%，而对AF风险因素的认识范围为8%至52%，对AF导致卒中的认识范围为36%至46%。在报告知晓房颤的患者中，82%正确识别心悸为房颤症状。全球公众对AF的认识很低。提高认识可以使患者能够寻求更及时的中风预防护理。
Early recognition of atrial fibrillation helps in stroke prevention. Survey in 10 countries to assess public awareness of atrial fibrillation. Overall global awareness of atrial fibrillation was 48%. Less than 46% of participants were aware atrial fibrillation leads to stroke. Atrial fibrillation (AF) is an important cause of ischemic stroke that often remains undetected until stroke occurs. Awareness of the risk factors and symptoms is important so that AF can be diagnosed and thromboprophylaxis given. However, the extent of public awareness of AF is uncertain. We assessed public awareness of AF across six continents and compared it with that of other thrombotic and non‐thrombotic disorders. In collaboration with Ipsos‐Reid, we conducted an internet‐based, cross‐sectional survey between September and October of 2016 in 10 countries: Argentina, Australia, Canada, Germany, Japan, Thailand, the Netherlands, Uganda, United Kingdom, and United States. Participants were selected from survey panels in weighted, age‐stratified categories (40‐60, 61‐74, and ≥75 years). The survey included 11 questions about demographics and assessed awareness about AF, as well as that of other thrombotic and non‐thrombotic disorders. Proportions and 95% confidence intervals (CI) were calculated. Of a total of 6312 respondents, overall awareness of AF was 48% (95% CI, 46‐50%), which was lower than awareness about other thrombotic and non‐thrombotic disorders except for deep vein thrombosis (awareness 43%, 95% CI, 41‐45%). Awareness about AF ranged from 25% to 69% across countries, while awareness of the risk factors for AF ranged from 8% to 52%, and awareness that AF leads to stroke ranged from 36% to 46%. Among those reporting awareness of AF, 82% correctly identified palpitations as an AF symptom. Global public awareness of AF is low. Improving awareness may empower patients to seek timelier stroke preventive care.
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