Department of Cardiology, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 7DU, UK; Radcliffe Department of Medicine, University of Oxford, Oxford, UK.
St Edmund Hall, University of Oxford, Oxford, UK.
Int J Cardiol. 2018 Dec 1;272:189-193. doi: 10.1016/j.ijcard.2018.08.066. Epub 2018 Aug 24.
Catheter ablation has a role in the treatment of selected patients with atrial fibrillation (AF). Patients are increasingly utilising the internet as an education resource. However, there is limited oversight on online patient information. This study aimed to determine the quality of video-based patient education resources for catheter ablation in AF.
YouTube was searched for "Ablation" and one of "Atrial Fibrillation" or "AFib" or "AF" (a total of three searches). Videos were included if they discussed catheter ablation and excluded if they primarily discussed surgical/hybrid ablation or were non-English language. Each video was scored by two authors for compliance with a gold-standard item set created from patient booklets from the Arrhythmia Alliance.
A total of 6357 videos were identified from all searches. Of these, a total of 111 videos met inclusion criteria and were included in the analysis. The median number of views for each video was 1794.5 (IQR 335 to 10,972) with a median duration of 217 s (IQR 135 to 444 s). The median number of essential criteria found in each video was 4/21 (IQR 3 to 6), and no video met all the essential criteria. Video score was not significantly correlated with video likes or number of views.
No available videos provide sufficiently detailed information for a patient to have a reasonable understanding of catheter ablation. A lack of correlation between views/'likes' and video score suggests patients are unable to critically evaluate these resources for educational content.
导管消融术在治疗某些心房颤动（房颤）患者中具有一定作用。患者越来越多地将互联网用作教育资源。然而，在线患者信息的监管有限。本研究旨在确定房颤导管消融术相关的基于视频的患者教育资源的质量。
在 YouTube 上搜索“消融”和“房颤”或“AFib”或“AF”中的一个（总共三次搜索）。如果视频讨论了导管消融术，则将其纳入；如果主要讨论了手术/混合消融术或非英语语言，则将其排除。两位作者根据心律失常联盟患者手册中的黄金标准项目集对每个视频进行评分。
从所有搜索中总共确定了 6357 个视频。其中，共有 111 个视频符合纳入标准，并纳入分析。每个视频的平均观看次数为 1794.5（IQR 335 至 10972），平均时长为 217s（IQR 135 至 444s）。每个视频中找到的基本标准的中位数为 4/21（IQR 3 至 6），没有一个视频符合所有基本标准。视频评分与视频点赞数或观看次数之间没有显著相关性。
没有可用的视频提供足够详细的信息，让患者对导管消融术有合理的了解。观看次数/点赞数和视频评分之间缺乏相关性表明，患者无法对这些资源的教育内容进行批判性评估。
