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Analysis of institutional authors

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Detection of hidden atrial fibrillation in primary care using a long-term band-based ECG registration system: The DESCUUBRE-FA study

Publicated to:Journal of Stroke & Cerebrovascular Diseases. 31 (9): 106642- - 2022-09-01 31(9), DOI: 10.1016/j.jstrokecerebrovasdis.2022.106642

Authors: Ximénez-Carrillo Á; Zapata-Wainberg G; Sastre R; Álvarez-Pasquín MJ; Javierre AP; Lozano T; Samir E; Perosanz L; González B; Sobrado M; Vivancos J

Affiliations

Canal de Panamá Primary Care Centre - Author
Daroca Primary Health Care Center - Author
Hospital Universitario de la Princesa - Author
Las Ciudades Primary Care Center - Author
Primary Care University Center Montesa - Author
Primary Care University Center Santa Hortensia - Author
Univ Autonoma Madrid, La Princesa Hlth Res Inst, Univ Hosp La Princesa, Stroke Ctr,Neurol Dept, Madrid, Spain - Author
Univ Ctr Canal Panama, Primary Care, Madrid, Spain - Author
Univ Ctr Ciudad Jardin, Primary Care, Madrid, Spain - Author
Univ Ctr Daroca, Primary Care, Madrid, Spain - Author
Univ Ctr Montesa, Primary Care, Madrid, Spain - Author
Univ Ctr Santa Hortensia, Primary Care, Madrid, Spain - Author
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Abstract

Objective: To assess whether the use of a band-based electrocardiographic (ECG) monitoring system improves the diagnostic accuracy of traditional diagnostic methods for the detection of atrial fibrillation (AF). Methods: Multicenter and observational study of primary care patients at risk of AF. To be included, patients had to be aged ≥70 years, with no known AF, and have at least 1 major criterion (obesity, hyperthyroidism, heart failure) or 2 minor criteria (hypertension, diabetes, female sex, ischemic stroke, transient ischemic attack or systemic embolism, COPD, dyslipidemia, ischemic heart disease, peripheral artery disease). All patients were monitored using the Nuubo™ system for a single 2-week period. Results: A total of 600 patients were included (median age 77 years; 70% women; 84.3% hypertension, 27.2% diabetes, 9.2% prior stroke). The global rate of diagnosis of new AF in the overall population was 2.83%. All patients with AF were anticoagulated. In numerical terms, patients with AF (vs no AF) had a higher number of supraventricular extrasystoles and episodes of supraventricular tachycardia, as well as longer P wave duration; however, these differences did not reach statistical significance. Overall, participants were very satisfied with the device, and no relevant limitations in daily activities were observed during the 2-week study period. Conclusions: In an elderly population at risk of AF, a band-based ECG monitoring approach applied for only 2 weeks detected approximately 3% of new cases of AF, leading to a change in antithrombotic therapy. Most participants considered the device easy to use and comfortable.

Keywords
atrial fibrillationcryptogenic strokehospitalized-patientslong-term ecg monitoringmanagementnumbonuuboprevalenceresourcesriskstrokeAtrial fibrillationLong-term ecg monitoringMonitoring strategiesNuuboStroke

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal of Stroke & Cerebrovascular Diseases due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2022, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Rehabilitation.

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-05-17:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 40.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 40 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 2.
  • The number of mentions on the social network X (formerly Twitter): 3 (Altmetric).
Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Panama.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Ximénez-Carrillo A) and Last Author (VIVANCOS MORA, JOSE AURELIO).

the author responsible for correspondence tasks has been Ximénez-Carrillo A.