Document Detail


Home prothrombin time monitoring: a literature analysis.
MedLine Citation:
PMID:  15389909     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The anticoagulant activity of warfarin sodium is monitored by the prothrombin time (PT) using the international normalized ratio (INR). Standard oral anticoagulant therapy monitoring requires frequent patient visits to physicians' offices and/or laboratories to optimize warfarin dosage. Home PT monitoring by patients can increase testing frequency and may thus decrease complications associated with oral anticoagulant therapy. Clinical studies suggest that home PT monitoring is more effective than uncoordinated management and is as effective as care through specialized anticoagulation clinics for keeping INRs within a therapeutic range. There are accurate and reliable instruments available, but paramount to the success of home PT monitoring is sound patient selection, appropriate patient training, and consistent quality control.
Authors:
David T Yang; Ryan S Robetorye; George M Rodgers
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American journal of hematology     Volume:  77     ISSN:  0361-8609     ISO Abbreviation:  Am. J. Hematol.     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-09-29     Completed Date:  2004-11-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7610369     Medline TA:  Am J Hematol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  177-86     Citation Subset:  IM    
Copyright Information:
Copyright 2004 Wiley-Liss, Inc.
Affiliation:
Department of Pathology, University of Utah Health Sciences Center, Salt Lake City, Utah 84132, USA.
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MeSH Terms
Descriptor/Qualifier:
Anticoagulants / administration & dosage
Drug Monitoring / instrumentation,  methods
Humans
International Normalized Ratio* / instrumentation,  methods
Patient Education as Topic
Prothrombin Time* / instrumentation,  methods
Self Care*
Warfarin / administration & dosage
Chemical
Reg. No./Substance:
0/Anticoagulants; 81-81-2/Warfarin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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