TY - JOUR T1 - Analysis of patients admitted to the emergency service for warfarin complication and determination of their levels of knowledge and requirements of knowledge about warfarin use AU - Duman, Ali AU - Akoz, Ayhan AU - Dagli, Bekir AU - Kapci, Mucahit AU - Avcil, Mucahit AU - Ozdemir, Ferdi PY - 2019 DA - October Y2 - 2016 JF - Deneysel ve Klinik Tıp Dergisi JO - J. Exp. Clin. Med. PB - Ondokuz Mayıs University WT - DergiPark SN - 1309-4483 SP - 247 EP - 250 VL - 34 IS - 4 LA - en AB - Warfarin is a cumarol derivative anticoagulant. It shows its effect by antagoniz-ing the effects of Vitamin K. Warfarin is metabolized in the liver. Internationalnormalized ratio has been developed in the monitorization of warfarin. It is adrug which has a limited therapeutic index. The difference in sensitivity fortherapy dose among individuals depends on the genetic polymorphism of thetwo enzymes in the liver. The objective of our study was to assess the informa-tion about the demographic characteristics, complications, treatments and therelated factors of the patients who were admitted to our emergency service forhigh INR in routine controls and of the cases who had bleeding due to warfarinoverdose. Of the 18-year-old and older patients who were admitted to our emer-gency service with a complaint related to warfarin use and who had been usingwarfarin on admission and patients who had an INR value of over 3.0 althoughthe patient had no complaints, those who accepted to participate in the studywere included in the study. The results of the demographic characteristics, com-plications and treatments of the 59 patients included in the study were in paral-lel with the literature. The rate of patients’ being informed was found as 61%.Although difference was found when the demographic data of the informed andnon-informed groups and their answers to the questions asked for warfarin in-formation level were compared, no statistically significant difference was found(p>0.005). This brings to mind that the information given to patients at the timeof first prescription is not sufficient and it does not turn into a regular training.  KW - Drug information KW - Emergency Service KW - Warfarin KW - Warfarin complication CR - Acar, A., Hasbahçeci, M., Başak, F., Canbak, T., Çalışkan, M., Alimoğlu, O., 2012. Bleedings caused by warfarin overdose. Dicle Med. J. 39, 223-226. CR - Alay, M., Demir, C., Atmaca, M., Esen, R., Dilek, İ., 2011. Oral antikoagulan tedavi seyrinde kanama komplikasyonu ile gelen hastaların değerlendirilmesi. Van Tıp Derg. 18, 9-14. CR - Altunbaş, G., Ercan, S., Davutoğlu, V., Al, B., 2013. Overview of warfarin treatment and answers to questions. JAEM. 12, 38-42. CR - Beyan, E., Beyan, C., Vaizoğlu, S.A., 2010. Predisposing prevent-able factors in patients with bleeding due to warfarin us-age: Evaluation of 114 patients. Clin. Appl. Thromb. Hemost. 16, 684-687. CR - Dentali, F., Ageno, W., Crowther, M., 2006. Treatment of coumarinaqssociated coagulopathy: A systematic review and proposed treatment algorithms. J. Thromb. Haemost. 4, 1853-1863. CR - Eroğlu, M., Çınar, O., Çevik, E., Yamanel, L., Durusu, M., İnal, V., Cömer, B., 2011. The analysis of cases admitted to ıntensive care units from emergency department due to complications related to warfarin treatment. Turk. J. Emerg. Med. 11, 9-12. CR - Eroğlu, S.E., Denizbaşı, A.A., Özpolat, Ç., Akoğlu, H., Onur, Ö.E., Ünal, E.A., 2012. The ınvestigation of the relation between ınr levels and risk of complication in patients with a history of warfarin use. Marmara Med. J. 25, 138-142. CR - Güven, F.M.K., Yavuz, C., Turkdogan, K.A., Karahan, O., Demirtas, S., Caliskan, A., Celik, M., 2012. Investigation of VKORC1 gene polymorphism in patients with bleeding complaints due to warfarin. Int. J. Basic and Clin. Studies. 1, 27-40. CR - Mercan, S., Enç, N., 2011. Educational needs of patients with warfarin. Turk. J. Cardio. Nursing. 1, 12-17. CR - Turkdogan, K.A., Karabacak, M., Akpinar, O., Karahan, O., Güven, F.M.K., Engin, A., Turkdogan, F.T., 2013. The VKORC1 gene homozygous polymorphism is markedly higher in Crimean Congo Hemorrhagic Fever patients. Biomed. Res. 24, 415-420. CR - Yaka, E., Pekdemir, M., Yılmaz, S., Akalın, E., 2011. Acil servis hastalarında oral antikoagülan tedavi bilgi düzeylerinin araştırılması. Tr. J. Emerg. Med. 11,155-160. UR - https://dergipark.org.tr/en/pub/omujecm/issue//628851 L1 - https://dergipark.org.tr/en/download/article-file/827836 ER -