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WARFARIN MANAGEMENT IN HAEMODIALYSIS-ARE WE MEETING BRITISH HAEMATOLOGY SOCIETY STANDARDS?
MedLine Citation:
PMID:  23057690     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: We evaluated current oral anticoagulant management at our main dialysis unit and three satellite units against British Haematology Society (BHS) standards. These standards include patients meeting their target INR 60.5 INR units for 60% of the time with an appropriate frequency of monitoring. Methods: Data were collected on anticoagulant prescribing and monitoring over one month. Results: None of the four haemodialysis centres were able to achieve BHS standards for all patients. There was wide variability in monitoring frequency, some patients had 13 INRs and up to 10 dose changes. Satellite C had the most patients (63%) meeting BHS target. Satellite A and B both had 50% of patients meeting target. However, Satellite A, where all patients were dosed by anticoagulant clinic, had the least frequent blood sampling and no patients exceeded the therapeutic INR. Conclusion: Units that employed dosing by anticoagulant clinics demonstrated best outcome for INR target with the least frequency of sampling. Service design set up and monitoring pathways play a crucial role in achieving warfarin therapeutic targets in haemodialysis units.
Authors:
Kathrine Parker; Marc Vincent; Sandip Mitra
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-12
Journal Detail:
Title:  Journal of renal care     Volume:  -     ISSN:  1755-6686     ISO Abbreviation:  J Ren Care     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101392167     Medline TA:  J Ren Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 European Dialysis and Transplant Nurses Association/European Renal Care Association.
Affiliation:
Department of Pharmacy, Manchester Royal Infirmary, Manchester, UK Department of Nephrology, Manchester Institute of Nephrology and Transplantation, Royal Infirmary, Oxford Road, Manchester, M13 9WL, UK.
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