Telephone-based anticoagulation management in the homebound setting: a retrospective observational study

International Journal of General Medicine
Samer HassanTerenig Terjanian

Abstract

Anticoagulation management is currently performed through anticoagulation clinics or self-managed with or without the help of medical services. Homebound patients are a unique population that cannot utilize anticoagulation clinics or self-testing. Telephone-based anticoagulation management could be an alternative to the traditional methods of monitoring warfarin in this subgroup. The objective of this retrospective, observational study is to investigate the feasibility of warfarin management in homebound patients. This study was performed through the use of telephone-based adjustments of warfarin dose based on an international normalized ratio (INR) result. Four hundred forty-eight homebound patients referred to the anticoagulation clinic at Staten Island University Hospital were visited at home by a phlebotomist; a blood sample was drawn for initial laboratory testing. A nurse practitioner then called the patient or designated person to relay the INR result and to direct dosage adjustment. INR results and dosage changes were entered into an electronic medical record and analyzed statistically. The mean percentage of INR values in range was 58.39%. The mean time when the INR was in the therapeutic range was 62.75%. The percent ...Continue Reading

Citations

Apr 1, 2017·International Journal of Clinical Pharmacy·Brian T CryderRami Rihani
Mar 28, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Itsarawan SakunragTeerapon Dhippayom
Jun 18, 2019·Therapeutic Advances in Drug Safety·Angela Yiu, Beata Bajorek
Sep 28, 2021·Frontiers in Pharmacology·Maha Al AmmariAswaq Maringa

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Methods Mentioned

BETA
blood draws

Software Mentioned

SAS
CoagClinic

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