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The Role of Primary Care Pharmacists in the Detection of Atrial Fibrillation

Savickas, Vilius (2020) The Role of Primary Care Pharmacists in the Detection of Atrial Fibrillation. Doctor of Philosophy (PhD) thesis, University of Kent,. (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided) (KAR id:84711)

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Language: English

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Abstract

Atrial fibrillation (AF) affects up to 10% of ≥ 65-year-olds and contributes to one in four ischaemic strokes, costing the UK economy > £1 billion each year. Clinical pharmacists' (CPs) integration into general practitioner (GP) surgeries and care homes offers an opportunity to facilitate AF screening. This thesis aimed to explore the role of primary care CPs in AF screening excluding the community pharmacy environment.

Another initiative used SLECG devices to deliver AF screening within a South Asian community setting. Pharmacy undergraduates of matching heritage screened 572 participants over nine days under CP supervision. Out of ≥ 65s, 1.5% had a newly detected AF and could be considered for OAC therapy. The intervention had a 95% probability of being cost-effective and was viewed as a valuable cause for local community, although its future implementation could be compromised by ineffective referrals to GP surgeries.

This enquiry demonstrates that CPs can facilitate effective, cost-effective and well-accepted AF screening in GP surgeries, care homes and community settings. Future research should explore the feasibility of integrating such pharmacist-led AF screening programmes within CVD care packages and should investigate their impact on clinical endpoints.

Item Type: Thesis (Doctor of Philosophy (PhD))
Thesis advisor: Bhamra, Sukvinder
Thesis advisor: Mathie, Alistair
Uncontrolled keywords: atrial fibrillation, AF, pharmcists, primary care
Subjects: R Medicine > R Medicine (General)
R Medicine > RS Pharmacy and materia medica
Divisions: Divisions > Division of Natural Sciences > Medway School of Pharmacy
SWORD Depositor: System Moodle
Depositing User: System Moodle
Date Deposited: 04 Dec 2020 11:10 UTC
Last Modified: 16 Feb 2021 14:17 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/84711 (The current URI for this page, for reference purposes)
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