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Clinical Outcomes of Telemonitoring for Patients on Warfarin after Discharge from Hospital
المؤلفون المشاركون
Dhippayom, Teerapon
Sudas Na Ayutthaya, Natthaporn
Sakunrak, Itsarawan
المصدر
International Journal of Telemedicine and Applications
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-08-12
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Objective.
To evaluate the impact of telephone follow-up service on clinical outcomes in patients on warfarin when discharged from hospital.
Methods.
This randomized controlled trial was conducted at a general hospital in Thailand.
Patients aged ≥20 years who were prescribed warfarin when discharged were eligible to participate in this study.
They were randomly allocated, using a computer generated random number, to receive either telephone follow-up intervention or usual care.
Participants in the intervention group received telephone follow-up by hospital pharmacists for three months.
During each telephone call, pharmacists performed medicine use reviews and addressed any problems identified.
Key Findings.
A total of 50 patients participated in this study.
The proportion of international normalized ratio (INR) values in the target range for the telephone follow-up group (36/79, 45.6%) was higher than that in the usual care group (19/79, 24.1%), p=0.005.
The mean time in the therapeutic range (TTR) in the telephone follow-up group was also higher than that in the usual care group (49.8±34.3 versus 28.0±27.5, p=0.017).
All patients in the usual care group experienced one or more out-of-range INR values (25/25, 100%) compared to 21 out of 25 (84%) in the telephone follow-up group, p=0.037.
There was no difference between the two groups in the incidence of complications or adverse events associated with warfarin.
Conclusions.
The telephone follow-up service in recently discharged patients helps them achieve and maintain their INR target.
This anticoagulant supportive service should be promoted to patients receiving warfarin therapy after discharge.
This trial is registered with TCTR20180614006 (Thai Clinical Trials Registry).
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Sudas Na Ayutthaya, Natthaporn& Sakunrak, Itsarawan& Dhippayom, Teerapon. 2018. Clinical Outcomes of Telemonitoring for Patients on Warfarin after Discharge from Hospital. International Journal of Telemedicine and Applications،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1175727
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Sudas Na Ayutthaya, Natthaporn…[et al.]. Clinical Outcomes of Telemonitoring for Patients on Warfarin after Discharge from Hospital. International Journal of Telemedicine and Applications No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1175727
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Sudas Na Ayutthaya, Natthaporn& Sakunrak, Itsarawan& Dhippayom, Teerapon. Clinical Outcomes of Telemonitoring for Patients on Warfarin after Discharge from Hospital. International Journal of Telemedicine and Applications. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1175727
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1175727
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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