Home management of anticoagulation

被引:10
作者
Völler, H [1 ]
Dovifat, C [1 ]
Glatz, J [1 ]
机构
[1] Klin See, Rehabil Clin Cardiovasc Dis, Dept Cardiol, D-15562 Ruedersdorf Berlin, Germany
关键词
accuracy; cost-effectiveness; oral anticoagulant therapy; patient self-management; prognosis; prothrombin time monitor;
D O I
10.1016/S1520-765X(01)90042-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The present review addresses current findings regarding home management of anticoagulation. The literature indicates that, after structured training, motivated patients with sufficient manual skills and eyesight are able to manage their own longterm, oral anticoagulation therapy. A stable level of anticoagulation can be achieved by weekly checks using a highly accurate, user-friendly coagulation monitor, thus reducing considerably the complication rate in comparison with conventional check ups by the local general practitioner or a specialist, Patient self-management not only saves costs, but it also increases patients' quality of life. (C) 2001 The European Society of Cardiology.
引用
收藏
页码:Q44 / Q49
页数:6
相关论文
共 26 条
[1]   EVALUATION OF A PORTABLE PROTHROMBIN TIME MONITOR FOR HOME-USE BY PATIENTS WHO REQUIRE LONG-TERM ORAL ANTICOAGULANT-THERAPY [J].
ANDERSON, DR ;
HARRISON, L ;
HIRSH, J .
ARCHIVES OF INTERNAL MEDICINE, 1993, 153 (12) :1441-1447
[2]   LONG-TERM PATIENT SELF-MANAGEMENT OF ORAL ANTICOAGULATION [J].
ANSELL, JE ;
PATEL, N ;
OSTROVSKY, D ;
NOZZOLILLO, E ;
PETERSON, AM ;
FISH, L .
ARCHIVES OF INTERNAL MEDICINE, 1995, 155 (20) :2185-2189
[3]   Guidelines for "patient self-management of oral anticoagulation" [J].
Bernardo, A ;
Völler, H .
DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 2001, 126 (12) :346-351
[4]  
BERNARDO A, 1996, J THROMB THROMBOLYS, V2, P321
[5]   Guidelines for the management of patients with valvular heart disease - Executive summary - A report of the American College of Cardiology American Heart Association task force on practice guidelines (committee on management of patients with valvular heart disease) [J].
Bonow, RO ;
Carabello, B ;
de Leon, AC ;
Edmunds, LH ;
Fedderly, BJ ;
Freed, MD ;
Gaasch, WH ;
McKay, CR ;
Nishimura, RA ;
O'Gara, PT ;
O'Rourke, RA ;
Rahimtoola, SH ;
Ritchie, JL ;
Cheitlin, MD ;
Eagle, KA ;
Gardner, TJ ;
Garson, A ;
Gibbons, RJ ;
Russell, RO ;
Ryan, TJ ;
Smith, SC .
CIRCULATION, 1998, 98 (18) :1949-1984
[6]   OPTIMAL ORAL ANTICOAGULANT-THERAPY IN PATIENTS WITH MECHANICAL HEART-VALVES [J].
CANNEGIETER, SC ;
ROSENDAAL, FR ;
WINTZEN, AR ;
VANDERMEER, FJM ;
VANDENBROUCKE, JP ;
BRIET, E .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (01) :11-17
[7]   THROMBOEMBOLIC AND BLEEDING COMPLICATIONS IN PATIENTS WITH MECHANICAL HEART-VALVE PROSTHESES [J].
CANNEGIETER, SC ;
ROSENDAAL, FR ;
BRIET, E .
CIRCULATION, 1994, 89 (02) :635-641
[8]   Oral anticoagulation self-management and management by a specialist anticoagulation clinic:: a randomised cross-over comparison [J].
Cromheecke, ME ;
Levi, M ;
Colly, LP ;
de Mol, BJM ;
Prins, MH ;
Hutten, BA ;
Mak, R ;
Keyzers, KCJ ;
Büller, HR .
LANCET, 2000, 356 (9224) :97-102
[9]  
Dovifat C., 1998, Annals of Hematology, V76, pA63
[10]   RISK-FACTORS FOR COMPLICATIONS OF CHRONIC ANTICOAGULATION - A MULTICENTER STUDY [J].
FIHN, SD ;
MCDONELL, M ;
MARTIN, D ;
HENIKOFF, J ;
VERMES, D ;
KENT, D ;
WHITE, RH .
ANNALS OF INTERNAL MEDICINE, 1993, 118 (07) :511-520