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心房颤动筛查成本效果分析的研究进展

Research progress on cost-effectiveness of atrial fibrillation screening

中文摘要英文摘要

心房颤动是临床上最常见的心律失常之一,无症状房颤发作隐匿,知晓率低,易导致不良结局,带来严重负担,疾病筛查应先行于并发症预防,无症状房颤的筛查和科学管理至关重要。本文系统梳理近年管理指南中的房颤筛查部分,并从卫生经济学的角度,剖析房颤筛查中不同筛查人群、筛查设备和监测时长等策略对成本效果的影响,并明晰筛查和抗凝治疗参与率对经济性的作用,以期指导临床实践。

trial fibrillation is one of the most common arrhythmias in clinical practice. The onset of asymptomatic atrial fibrillation is insidious and the awareness rate is low, which can easily lead to adverse outcomes and bring a serious burden. Disease screening should precede the prevention of complications, and the screening and scientific management of asymptomatic atrial fibrillation are crucial. This article systematically reviews the screening of atrial fibrillation in recent management guidelines, and from the perspective of health economics, analyzes the impact of different screening populations, screening equipment, and monitoring time on the cost-effectiveness of atrial fibrillation screening strategies. At the same time, the role of screening participation rate and anticoagulation treatment compliance on economy was also clarified, in order to guide clinical practice.

王洁、孙国珍、鲍志鹏、汤志杰、王琳、杨刚、刘沈馨雨

10.12074/202210.00073V1

医药卫生理论预防医学内科学

心房颤动筛查成本效果分析

trial fibrillationScreeningcost-effectiveness analysis

王洁,孙国珍,鲍志鹏,汤志杰,王琳,杨刚,刘沈馨雨.心房颤动筛查成本效果分析的研究进展[EB/OL].(2022-10-13)[2025-08-05].https://chinaxiv.org/abs/202210.00073.点此复制

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