Can oral anticoagulation be managed using telemedicine and patient self-testing? A pilot study

Clinical and Laboratory Haematology
Chris GardinerHannah Cohen

Abstract

We report a feasibility study of patient self-testing telemedicine for anticoagulant management using TOPCARE (Telematic Homecare Platform in Cooperative Health Care Provider Networks, developed by the European Commission for a user-friendly information society). TOPCARE comprises a Home Telematic Box (TOPCARE BOX), a central database held on a remote server and secure computer terminals in the anticoagulant clinic. The TOPCARE BOX transmits encrypted International Normalized Ratio (INR) results from the CoaguChek S monitor (Roche Diagnostics) via the patient's telephone line to the database, which is accessed by health-care professionals via the Internet. The database displays the patient's anticoagulant record, highlighting out of range results, overdue tests and quality control results. The database can also send information back to the TOPCARE box, although currently only the next test date can be transmitted. 23 patients, on long-term oral anticoagulation were recruited from the hospital anticoagulant clinic. After completing a nurse-led training course, patients tested their INR weekly on a CoaguChek S and transmitted their results via the TOPCARE BOX. The nurse specialist accessed the patient's results, electronically en...Continue Reading

References

Apr 15, 2000·Journal of Thrombosis and Thrombolysis·D HorstkotteM Wiemer
Jan 5, 2005·Annals of Internal Medicine·Bárbara Menéndez-JándulaJordi Fontcuberta
Jan 11, 2005·British Journal of Haematology·Chris GardinerHannah Cohen

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Citations

Jan 22, 2009·Herz·Jörg O SchwabUNKNOWN Nucleus der Arbeitsgruppe Telemonitoring der Deutschen Gesellschaft für Kardiologie, Herz- und Kreislaufforschung
Oct 26, 2012·Thrombosis·Sophie TestaEmilia Cancellieri
Jul 7, 2012·Medicina clínica·Isidoro Herrera, Félix Gascón
Nov 17, 2009·Clinica Chimica Acta; International Journal of Clinical Chemistry·John R PetersenM Tarek Elghetany
Nov 13, 2008·IEEE Transactions on Information Technology in Biomedicine : a Publication of the IEEE Engineering in Medicine and Biology Society·Carlos H SalvadorJosé L Monteagudo
Dec 23, 2016·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Stacy A JohnsonMichael J Lanspa
Nov 27, 2007·Expert Review of Cardiovascular Therapy·Mark S Slaughter, Eias Jweied
Oct 17, 2020·The Egyptian Heart Journal : (EHJ) : Official Bulletin of the Egyptian Society of Cardiology·Gurbhej SinghBishav Mohan

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