Cardiology Department Y Bispebjerg and Frederiksberg, Hospital Copenhagen Denmark, 2000 Frederiksberg, Denmark.
Department of Biomedicine, University of Copenhagen, 1165 Copenhagen, Denmark.
Int J Environ Res Public Health. 2022 Jun 16;19(12):7383. doi: 10.3390/ijerph19127383.
Atrial fibrillation (AF) management in primary care often requires a referral to cardiology clinics, which can be strenuous for frail patients. We developed "" (CS), a new cross-sector collaboration model, to ease this process. General practitioners (GPs) can use a compact Holter monitor (C3 from Cortrium) to receive remote advice from the cardiologist. To test the feasibility and acceptability of the CS model to manage suspected AF in frail elderly patients. We used a mixed methods design, including the preparation of qualitative semistructured interviews of GPs and nurses. Between MAR-2019 and FEB-2020, 54 patients were consulted through the CS model, of whom 35 underwent C3 Holter monitoring. The time from referral to a final Holter report was shortened from a mean (SD) of 117 (45) days in usual care to 30 days (13) with the CS model. Furthermore, 90% of the patients did not need to attend visits at the cardiology clinic. The GPs and nurses highlighted the ease of using the C3 monitor. Their perception was that patients were confident in the GPs' collaboration with cardiologists. : The CS model using a C3 monitor for AF is both feasible and seems acceptable to GPs. The elapsed time from referral to the Holter report performed for the diagnosis was significantly reduced.
心房颤动（AF）的基层医疗管理通常需要转诊到心脏病学诊所，这对于体弱的患者来说是很吃力的。我们开发了“（CS）”，一种新的跨部门合作模式，以简化这个过程。全科医生（GPs）可以使用紧凑的 Holter 监测仪（C3 来自 Cortrium）从心脏病专家那里获得远程建议。 为了测试 CS 模型在管理体弱老年疑似 AF 中的可行性和可接受性。 我们采用了混合方法设计，包括对全科医生和护士进行定性半结构式访谈的准备。 2019 年 3 月至 2020 年 2 月期间，通过 CS 模型咨询了 54 名患者，其中 35 名患者接受了 C3 Holter 监测。从转诊到最终 Holter 报告的时间从常规护理中的平均（SD）117（45）天缩短到 CS 模型中的 30 天（13）。此外，90%的患者无需前往心脏病学诊所就诊。全科医生和护士强调了使用 C3 监测器的便利性。他们的看法是，患者对全科医生与心脏病专家合作充满信心。：使用 C3 监测器进行 AF 的 CS 模型既可行，似乎也能被全科医生接受。从转诊到进行诊断的 Holter 报告的时间明显缩短。
