Village Doctor-Led Telemedicine for Rural Patients Aged 75 Years and Older With AF: A Prespecified Secondary Analysis of the MIRACLE-AF Trial - PubMed
7 hours ago
- #Rural Health
- #Atrial Fibrillation
- #Telemedicine
- The study evaluates a village doctor-led, telemedicine-supported integrated care model for rural patients aged 75 years and older with atrial fibrillation (AF).
- The MIRACLE-AF trial was conducted in 30 village clinics in Jiangdu County, China, from December 2020 to May 2024.
- A total of 589 patients aged 75 years or older were included, with 297 receiving the intervention and 292 receiving usual care.
- The intervention significantly reduced the risk of a composite primary outcome (cardiovascular death, stroke, hospitalization, etc.) compared to usual care (7.4% vs. 11.3% per year).
- The adjusted hazard ratio was 0.70 (95% CI, 0.49 to 0.98), indicating a 30% lower risk with the intervention.
- The findings suggest that telemedicine-supported care can improve outcomes for elderly rural AF patients.