Thrombosis centres and AVKs monitoring in COVID-19 pandemic.

Internal and Emergency Medicine
Doris Barcellona, Francesco Marongiu

Abstract

Vitamin K-Antagonists (VKAs) are the treatment of choice in patients with indications other than atrial fibrillation and venous thromboembolism. Moreover, some patients still assume VKAs refusing to change their therapy when direct oral anticoagulants (DOACs) are properly indicated. The COVID-19 pandemic has completely changed our lives, nullifying inter-personal relationships to avoid contagion, making difficult the VKAs monitoring. We describe the re-organization of our thrombosis centre (TC) as an example on how to face the emergency due to the COVID-19 pandemic. In the first phase, to avoid overcrowding at the TC, we planned to increase the interval time between INRs checks and to encourage blood sampling at home, especially for elderly patients. Moreover, precise scheduled blood sampling was also organized while telephone and email counselling were guaranteed by two doctors of the TC. In the second phase, to reduce the number of patients who daily attended our TC a switch from VKAs to DOACs was carried out, if no contraindications were identified. In the third phase, to protect patients, healthcare staff and hospital from COVID-19 widespread, telemedicine was strengthened. We tried to extend self-testing at home by means o...Continue Reading

References

Oct 19, 2016·Clinical Chemistry and Laboratory Medicine : CCLM·Doris BarcellonaFrancesco Marongiu
Feb 14, 2017·Internal and Emergency Medicine·Domenico PriscoUNKNOWN SISET (Italian Society for the Study of Haemostasis and Thrombosis)
May 16, 2017·Internal and Emergency Medicine·Gualtiero PalaretiUNKNOWN centers participating in the FCSA-START-Register (The ISCOAT 2016 study: Italian Study on Complications of Oral Anticoagulan
May 16, 2018·Journal of Thrombosis and Haemostasis : JTH·G D BarnesJ B Froehlich
Sep 11, 2018·Patient Preference and Adherence·Doris BarcellonaFrancesco Marongiu
Oct 11, 2019·American Journal of Therapeutics·Marvin KajyPreeti Ramappa
Mar 3, 2020·Journal of Autoimmunity·Hussin A Rothan, Siddappa N Byrareddy

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