J Telemed Telecare - Telemedicine can improve the quality of oral anticoagulation using portable devices and self-testing at home.

Tópicos

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Resumo

Point-of-care testing (POCT) devices can be used to monitor anticoagulant therapy. We compared patients being monitored at home by self-testing using a POCT device and telemedicine support with a previous period of conventional monitoring at a Thrombosis Centre. A total of 114 anticoagulated patients participated. The number of blood checks (INR) was significantly higher in the home monitoring group and the interval between checks was significantly shorter. The percentage of missed INR checks was significantly higher during the conventional monitoring period compared with home monitoring. Patients were divided into two groups on the basis of the time spent within the therapeutic range (TTR) during conventional monitoring: the unstable group had TTR<70% and the stable group had TTR =70%. In the unstable group there was a significant increase in TTR with home monitoring: 63% to 68% (P < 0.001) while in the stable group there was no significant change (77% to 75%). The study showed that oral anticoagulation management by means of self-testing is suitable and safe.

Resumo Limpo

pointofcar test poct devic can use monitor anticoagul therapi compar patient monitor home selftest use poct devic telemedicin support previous period convent monitor thrombosi centr total anticoagul patient particip number blood check inr signific higher home monitor group interv check signific shorter percentag miss inr check signific higher convent monitor period compar home monitor patient divid two group basi time spent within therapeut rang ttr convent monitor unstabl group ttr stabl group ttr unstabl group signific increas ttr home monitor p stabl group signific chang studi show oral anticoagul manag mean selftest suitabl safe

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