8. Are nurse-led prosthetic valve anticoagulation clinics effective?
Valvular heart disease is a major and serious healthcare issue. There is an increasing evidence that Nurse-led anticoagulation clinics may improve patients’ management and care.This is a retrospective comparison study that included the first 94 patients enrolled in the Nurse Led Prosthetic Valve Ant...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Saudi Heart Association
2016-07-01
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| Series: | Journal of the Saudi Heart Association |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1016731516300306 |
| _version_ | 1819035617705590784 |
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| author | F. Obeid R. Odeh R. Sirriyeh S. AL-Refaei S. Alshnaikat B. Bdeir I. Farah |
| author_facet | F. Obeid R. Odeh R. Sirriyeh S. AL-Refaei S. Alshnaikat B. Bdeir I. Farah |
| author_sort | F. Obeid |
| collection | DOAJ |
| description | Valvular heart disease is a major and serious healthcare issue. There is an increasing evidence that Nurse-led anticoagulation clinics may improve patients’ management and care.This is a retrospective comparison study that included the first 94 patients enrolled in the Nurse Led Prosthetic Valve Anticoagulation Clinic (PVATC) in King Abdul-Aziz Cardiac Centre between April and June 2013, and received Warfarin by General Cardiology Clinics for one year pre enrollment in PVATC, and one year after. Time in Therapeutic Range (TTR) of the International Normalized Ratio (INR) was calculated and compared between pre and post PVATC enrolment. Other data including demographics and comorbidities were collected and analyzed. Mean age of patients was 53 ± 12.5 years and males were 56%. Atrial fibrillation was found in 37%, Diabetes Mellitus in 28% and Hypertension in 34%. Mean TTR was 72% pre enrollment in PVATC as compared to 78.9% after (P < 0.006). Median TTR was 75% pre, and 81.5% after attending the PVATC (P < 0.0001). 56% of patients pre enrollment had TTR values above 70% threshold, compared to 75% after enrollment. Nurse-Led PVATC has significant impact on the care provided to patients receiving anticoagulation treatment. |
| first_indexed | 2024-12-21T07:52:29Z |
| format | Article |
| id | doaj.art-6d663902a41941628242e3b6dac79403 |
| institution | Directory Open Access Journal |
| issn | 1016-7315 |
| language | English |
| last_indexed | 2024-12-21T07:52:29Z |
| publishDate | 2016-07-01 |
| publisher | Saudi Heart Association |
| record_format | Article |
| series | Journal of the Saudi Heart Association |
| spelling | doaj.art-6d663902a41941628242e3b6dac794032022-12-21T19:11:02ZengSaudi Heart AssociationJournal of the Saudi Heart Association1016-73152016-07-0128318910.1016/j.jsha.2016.04.0098. Are nurse-led prosthetic valve anticoagulation clinics effective?F. Obeid0R. Odeh1R. Sirriyeh2S. AL-Refaei3S. Alshnaikat4B. Bdeir5I. Farah6National Guard Health Affairs, Riaydh, Saudi ArabiaKACC, Riaydh, Saudi ArabiaNational Guard Health Affairs, Riaydh, Saudi ArabiaNGHA, Riaydh, Saudi ArabiaNGHA, Riaydh, Saudi ArabiaNGHA, Riaydh, Saudi ArabiaNGHA, Riaydh, Saudi ArabiaValvular heart disease is a major and serious healthcare issue. There is an increasing evidence that Nurse-led anticoagulation clinics may improve patients’ management and care.This is a retrospective comparison study that included the first 94 patients enrolled in the Nurse Led Prosthetic Valve Anticoagulation Clinic (PVATC) in King Abdul-Aziz Cardiac Centre between April and June 2013, and received Warfarin by General Cardiology Clinics for one year pre enrollment in PVATC, and one year after. Time in Therapeutic Range (TTR) of the International Normalized Ratio (INR) was calculated and compared between pre and post PVATC enrolment. Other data including demographics and comorbidities were collected and analyzed. Mean age of patients was 53 ± 12.5 years and males were 56%. Atrial fibrillation was found in 37%, Diabetes Mellitus in 28% and Hypertension in 34%. Mean TTR was 72% pre enrollment in PVATC as compared to 78.9% after (P < 0.006). Median TTR was 75% pre, and 81.5% after attending the PVATC (P < 0.0001). 56% of patients pre enrollment had TTR values above 70% threshold, compared to 75% after enrollment. Nurse-Led PVATC has significant impact on the care provided to patients receiving anticoagulation treatment.http://www.sciencedirect.com/science/article/pii/S1016731516300306 |
| spellingShingle | F. Obeid R. Odeh R. Sirriyeh S. AL-Refaei S. Alshnaikat B. Bdeir I. Farah 8. Are nurse-led prosthetic valve anticoagulation clinics effective? Journal of the Saudi Heart Association |
| title | 8. Are nurse-led prosthetic valve anticoagulation clinics effective? |
| title_full | 8. Are nurse-led prosthetic valve anticoagulation clinics effective? |
| title_fullStr | 8. Are nurse-led prosthetic valve anticoagulation clinics effective? |
| title_full_unstemmed | 8. Are nurse-led prosthetic valve anticoagulation clinics effective? |
| title_short | 8. Are nurse-led prosthetic valve anticoagulation clinics effective? |
| title_sort | 8 are nurse led prosthetic valve anticoagulation clinics effective |
| url | http://www.sciencedirect.com/science/article/pii/S1016731516300306 |
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