Universität zu Köln

Hermans, Astrid N. L., Gawalko, Monika ORCID: 0000-0003-4619-9062, Hillmann, Henrike A. K., Sohaib, Afzal, van der Velden, Rachel M. J., Betz, Konstanze, Verhaert, Dominique, Scherr, Daniel, Meier, Julia, Sultan, Arian, Steven, Daniel, Terentieva, Elena, Pisters, Ron, Hemels, Martin, Voorhout, Leonard, Lodzinski, Piotr, Krzowski, Bartosz ORCID: 0000-0001-9987-870X, Gupta, Dhiraj, Kozhuharov, Nikola ORCID: 0000-0003-2086-3690, Gruwez, Henri, Vernooy, Kevin ORCID: 0000-0002-8818-5964, Pluymaekers, Nikki A. H. A., Hendriks, Jeroen M., Manninger, Martin ORCID: 0000-0002-0545-4373, Duncker, David and Linz, Dominik (2022). Self-Reported Mobile Health-Based Risk Factor and CHA(2)DS(2)-VASc-Score Assessment in Patients With Atrial Fibrillation: TeleCheck-AF Results. Front. Cardiovasc. Med., 8. LAUSANNE: FRONTIERS MEDIA SA. ISSN 2297-055X

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Abstract

IntroductionThe TeleCheck-AF approach is an on-demand mobile health (mHealth) infrastructure incorporating mobile app-based heart rate and rhythm monitoring through teleconsultation. We evaluated feasibility and accuracy of self-reported mHealth-based AF risk factors and CHA(2)DS(2)-VASc-score in atrial fibrillation (AF) patients managed within this approach. Materials and MethodsConsecutive patients from eight international TeleCheck-AF centers were asked to complete an app-based 10-item questionnaire related to risk factors, associated conditions and CHA(2)DS(2)-VASc-score components. Patient's medical history was retrieved from electronic health records (EHR). ResultsAmong 994 patients, 954 (96%) patients (38% female, median age 65 years) completed the questionnaire and were included in this analysis. The accuracy of self-reported assessment was highest for pacemaker and anticoagulation treatment and lowest for heart failure and arrhythmias. Patients who knew that AF increases the stroke risk, more often had a 100% or >= 80% correlation between EHR- and app-based results compared to those who did not know (27 vs. 14% or 84 vs. 77%, P = 0.001). Thromboembolic events were more often reported in app (vs. EHR) in all countries, whereas higher self-reported hypertension and anticoagulant treatment were observed in Germany and heart failure in the Netherlands. If the app-based questionnaire alone was used for clinical decision-making on anticoagulation initiation, 26% of patients would have been undertreated and 6.1%-overtreated. ConclusionSelf-reported mHealth-based assessment of AF risk factors is feasible. It shows high accuracy of pacemaker and anticoagulation treatment, nevertheless, displays limited accuracy for some of the CHA(2)DS(2)-VASc-score components. Direct health care professional assessment of risk factors remains indispensable to ensure high quality clinical-decision making.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hermans, Astrid N. L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gawalko, Monika UNSPECIFIED orcid.org/0000-0003-4619-9062 UNSPECIFIED Hillmann, Henrike A. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sohaib, Afzal UNSPECIFIED UNSPECIFIED UNSPECIFIED van der Velden, Rachel M. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Betz, Konstanze UNSPECIFIED UNSPECIFIED UNSPECIFIED Verhaert, Dominique UNSPECIFIED UNSPECIFIED UNSPECIFIED Scherr, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED Meier, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Sultan, Arian UNSPECIFIED UNSPECIFIED UNSPECIFIED Steven, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED Terentieva, Elena UNSPECIFIED UNSPECIFIED UNSPECIFIED Pisters, Ron UNSPECIFIED UNSPECIFIED UNSPECIFIED Hemels, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Voorhout, Leonard UNSPECIFIED UNSPECIFIED UNSPECIFIED Lodzinski, Piotr UNSPECIFIED UNSPECIFIED UNSPECIFIED Krzowski, Bartosz UNSPECIFIED orcid.org/0000-0001-9987-870X UNSPECIFIED Gupta, Dhiraj UNSPECIFIED UNSPECIFIED UNSPECIFIED Kozhuharov, Nikola UNSPECIFIED orcid.org/0000-0003-2086-3690 UNSPECIFIED Gruwez, Henri UNSPECIFIED UNSPECIFIED UNSPECIFIED Vernooy, Kevin UNSPECIFIED orcid.org/0000-0002-8818-5964 UNSPECIFIED Pluymaekers, Nikki A. H. A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hendriks, Jeroen M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Manninger, Martin UNSPECIFIED orcid.org/0000-0002-0545-4373 UNSPECIFIED Duncker, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Linz, Dominik UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-696307
DOI:	10.3389/fcvm.2021.757587
Journal or Publication Title:	Front. Cardiovasc. Med.
Volume:	8
Date:	2022
Publisher:	FRONTIERS MEDIA SA
Place of Publication:	LAUSANNE
ISSN:	2297-055X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Cardiac & Cardiovascular Systems Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/69630