[Patient self-management of oral anticoagulation].
Self management of oral anticoagulation (OAC) has been demonstrated to improve the quality of oral anticoagulation as assessed by the percentage of INR values within the individual target range. There were tendentially less bleeding and thromboembolic complications in the group with self management of OAC. The capillary INR values of the only available monitor in Switzerland (CoaguChek, Roche Diagnostics, AG) correlated good with venous INR. Thus, self management of OAC may be a valuable alternative to conventional anticoagulation in selected and motivated patients on long term anticoagulation.
Caliezi
C
C
Angiologische Abteilung, Departement Herz und Gefässe, Inselspital Bern. christoph.caliezi@insel.ch
Niederer
A
A
Wuillemin
W A
WA
D000284:Administration, Oral; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000008:administration & dosage / Q000627:therapeutic use*; D002648:Child; D016903:Drug Monitoring; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D007348:Insurance, Health; D019934:International Normalized Ratio / Q000191:economics / Q000592:standards; D008297:Male; D008991:Monitoring, Physiologic; D010353:Patient Education as Topic; D018579:Patient Selection; D010783:Photometry; D011446:Prospective Studies; D011786:Quality Control; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic; D012648:Self Care / Q000191:economics / Q000295:instrumentation; D013925:Thromboplastin; D013997:Time Factors
D000925:Anticoagulants; D013925:Thromboplastin