摘要
目的采用系统评价的方法,分析随机对照试验(RCT)研究中不同种类可穿戴设备用于房颤筛查的实际检出率,为能显著有效提升房颤检出率设备的临床应用提供综合证据。方法检索MEDLINE(PubMed)、Ovid、Clinical Trials、万方医学网和中国知网数据库,筛查出建库至2021年10月30日所有符合本文主题的RCT论文,按照系统评价和meta分析的优先报告条目,提取出与房颤检出率相关的数据,进行归纳整理分析。结果纳入RCT原始论文11篇,合计意向受试人数41565人。有5个RCT均证明,连续心电图(cECG)技术类的胸贴与常规检测手段相比显著地提升了房颤的检出率。在6个关于手持式间歇性ECG检测设备的RCT研究中,只有2个证实了房颤检出率的显著提升。结论cECG胸贴比常规检测手段可以更有效地筛查出房颤。手持式间歇ECG检测设备的房颤筛查效果尚不一致,有待进一步研究。
Objective To carry out a systematic review of randomised controlled trial(RCT)studies on atrial fibrillation(AF)detection rates by wearable devices and provide the integrated evidence in supporting the clinical application of wearable devices that have been shown to be significantly effective in enhancing AF detection rates.Methods MEDLINE(PubMed),Ovid,Clinical Trials,Wanfang Medical Network and CNKI databases were searched for RCT studies on AF screening efficacy using wearable devices,published from establishment of the databases to October 30,2021.The data related to AF detection rates were extracted,summarised and analysed according to"Preferred Reporting Items for Systematic Reviews and Meta-Analyses".Results A total of 11 RCT papers with a total of 41565 intention-to-screen participants were identified.On continuous ECG(cECG)patches,5 RCTs showed significantly higher AF detection rates compared with conventional detection methods.Of 6 RCT studies on handheld intermittent ECG detection devices,only 2 showed significantly higher AF detection rates compared with conventional methods.Conclusion AF can be more effectively screened using continuous cECG-based wearable devices compared with conventional detection methods.The effect of handheld intermittent ECG devices on AF screening was inconsistent,and further research is needed.
作者
高晨曦
陈清勇
GAO Chen-xi;CHEN Qing-yong(Department of General Practice,West-China Hospital,Sichuan University,Chengdu,Sichuan 610041,China;不详)
出处
《中华全科医学》
2022年第7期1230-1234,共5页
Chinese Journal of General Practice
基金
国家重点研发计划项目(2019YFC1709003)。
关键词
可穿戴设备
心房颤动
筛查
随机对照试验
系统评价
Wearable devices
Atrial fibrillation
Screening
Randomised controlled trials
Systematic review
