Tipo:	Trabalho de Conclusão de Curso
Título:	Smartphone-based Applications for Atrial Fibrillation Detection: A Systematic Review and Meta-analysis of Diagnostic Test Accuracy
Autor(es):	Barbosa, Isabella Oliveira Freitas
Primeiro Orientador:	Menezes Junior, Antônio da Silva
metadata.dc.contributor.referee1:	Silva, Antonio Márcio Teodoro Cordeiro
Resumo:	Background: Atrial fibrillation (AF) burden is strongly associated with an increased risk of stroke, which, in most cases, could have been prevented through earlier detection of AF and the timely initiation of anticoagulation therapy. Smartphone devices can provide a simple, non-invasive, cost-effective early AF detection solution. Methods: PubMed, Embase, and Scopus databases were searched for studies comparing smartphone-based photoplethysmography (PPG) with standard electrocardiogram (ECG) for AF detection. A bivariate random-effects model with a 95% confidence interval (CI) was applied to generate the summary receiver operating characteristic (SROC) curve. Results: Fourteen studies were included, comprising 5,090 patients with an AF prevalence of 31.6%. The pooled sensitivity and specificity were 0.96 (95% CI, 0.93–0.97) and 0.97 (95% CI, 0.95–0.98). The area under the SROC curve was 0.98 (95% CI, 0.94–0.99). The diagnostic odds ratio was 960 (95% CI, 439–2,104), with significant heterogeneity (I² = 51%). The projected positive and negative predictive values were 66.5% and 99.7%, respectively, in the elderly population aged >65 years and 39.2% and 99.9% in the general population. Conclusion: Smartphone-based PPG demonstrated relatively high sensitivity and specificity and appears capable of ruling out AF. Patients aged >65 are more likely to benefit from AF screening.
Palavras-chave:	: Atrial Fibrillation. Meta-analysis. Photoplethysmography. Smartphone. Telehealth
CNPq:	CNPQ::CIENCIAS DA SAUDE CNPQ::CIENCIAS DA SAUDE::MEDICINA CNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA::CARDIOLOGIA
Idioma:	eng
País:	Brasil
Editor:	Pontifícia Universidade Católica de Goiás
Sigla da Instituição:	PUC Goiás
metadata.dc.publisher.department:	Escola de Ciências Médicas e da Vida
Tipo de Acesso:	Acesso Aberto
URI:	https://repositorio.pucgoias.edu.br/jspui/handle/123456789/8848
Data do documento:	18-Out-2024
Aparece nas coleções:	TCC Medicina

Os itens no repositório estão protegidos por copyright, com todos os direitos reservados, salvo quando é indicado o contrário.