دورية أكاديمية

The HIPOGAIA study: Monitoring of oral anticoagulation with vitamin K antagonists in the municipality of Gaia.

التفاصيل البيبلوغرافية
العنوان: The HIPOGAIA study: Monitoring of oral anticoagulation with vitamin K antagonists in the municipality of Gaia.
عنوان ترانسليتريتد: Estudo HIPOGAIA: monitorização da hipocoagulação oral com dicumarínicos no concelho de Gaia.
المؤلفون: Guedes M; Unidade de Saúde Familiar Nova Via, ACeS Grande Porto VIII, Espinho/Gaia, Portugal. Electronic address: martasguedes@gmail.com., Rego C; Unidade de Saúde Familiar Nova Via, ACeS Grande Porto VIII, Espinho/Gaia, Portugal.
المصدر: Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology [Rev Port Cardiol] 2016 Sep; Vol. 35 (9), pp. 459-65. Date of Electronic Publication: 2016 Aug 05.
نوع المنشور: Journal Article; Multicenter Study; Observational Study
اللغة: English; Portuguese
بيانات الدورية: Publisher: Lisbon Country of Publication: Portugal NLM ID: 8710716 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2174-2030 (Electronic) Linking ISSN: 08702551 NLM ISO Abbreviation: Rev Port Cardiol Subsets: MEDLINE
أسماء مطبوعة: Publication: 2011- : Lisbon : Elsevier
Original Publication: Lisboa : Sociedade Portuguesa De Cardiologia
مواضيع طبية MeSH: Anticoagulants/*therapeutic use , Atrial Fibrillation/*blood , Drug Monitoring/*methods , Thromboembolism/*prevention & control, Adult ; Aged ; Aged, 80 and over ; Atrial Fibrillation/complications ; Blood Coagulation ; Humans ; International Normalized Ratio ; Middle Aged ; Portugal ; Retrospective Studies ; Thromboembolism/blood ; Vitamin K
مستخلص: Introduction: Anticoagulant therapy is an effective measure in preventing thromboembolic adverse events. Of the diseases in which this treatment is indicated, atrial fibrillation (AF) has the highest incidence worldwide, with a prevalence of 1.5-2%.
Objectives: To assess the quality of monitoring of patients with non-valvular AF under oral anticoagulation with vitamin K antagonists in Vila Nova de Gaia healthcare units.
Methods: This was a retrospective observational analytical study of the population registered at the 37 healthcare units of the Vila Nova de Gaia and Espinho health center area under oral anticoagulation with vitamin K antagonists during 2014. The data were collected using TAONet(®) software. The variables studied were health units, age, gender, INR value, time in therapeutic range (TTR) and medication. TTR was calculated for each patient using the Rosendaal linear interpolation method. It was stipulated that each patient should have undergone at least six INR measurements. Data were analyzed using Microsoft Excel(®) 2010 and SPSS(®) version 21, using descriptive and inferential statistical techniques.
Results: A total of 479 patients with non-valvular AF were studied, corresponding to 5883 INR tests. Mean TTR was 67.4±6.5%, and 35.3% of patients exhibited poor control (TTR <60%).
Discussion: Our study showed moderate control of coagulation parameters, but better than in many international clinical trials and in another Portuguese observational study. Nevertheless, there is still room for improvement in anticoagulation monitoring in primary health care.
(Copyright © 2016 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.)
التعليقات: Comment in: Rev Port Cardiol. 2016 Sep;35(9):467-8. (PMID: 27503588)
Comment in: Rev Port Cardiol. 2017 Jul - Aug;36(7-8):577-578. (PMID: 28687366)
فهرسة مساهمة: Keywords: Cuidados de saúde primários; Fibrilhação auricular não valvular; Hipocoagulantes orais dicumarínicos; Non‐valvular atrial fibrillation; Oral vitamin K antagonists; Primary health care; Tempo em intervalo terapêutico; Time in therapeutic range
المشرفين على المادة: 0 (Anticoagulants)
12001-79-5 (Vitamin K)
تواريخ الأحداث: Date Created: 20160810 Date Completed: 20180319 Latest Revision: 20181202
رمز التحديث: 20240628
DOI: 10.1016/j.repc.2016.03.003
PMID: 27503590
قاعدة البيانات: MEDLINE
الوصف
تدمد:2174-2030
DOI:10.1016/j.repc.2016.03.003