What Is The Success Rate of Patients Using Warfarin In Maintaining Their Target International Normalized Ratio Levels?

Year 2019, Volume: 19 Issue: 2, 366 - 374, 28.06.2019

Tuğba Atmaca Temrel , Serkan Şahin İshak Şan

https://doi.org/10.17098/amj.577304

Cited By: 1

Abstract

Objectives:
Patients using warfarin, are also referred to emergency departments when they
have an emergency. When a patient using warfarin presented to the emergency
departments to be able to estimate the possible level of International Normalized Ratio can help in making an emergency
treatment plan. The purpose of this study was to demonstrate patient success in
maintaining International Normalized Ratio by
investigating spot International Normalized Ratio
levels of patients using warfarin who were admitted to emergency services.

Materials and
Methods: Our study is survey study. Among 2071 patients, 129
patients using warfarin due to non-valvular causes who were admitted to the
emergency departments for warfarin-unrelated reasons and who met the inclusion
criteria were included in the study.

Results: 41.80%
of the participants had International Normalized
Ratio values within the therapeutic range. It was shown that
warfarin-related bad experiences and having training did not affect whether
International Normalized Ratio was within the
therapeutic range or not.

Conclusion:
Patients using warfarin are unsuccessful in maintaining their target
International Normalized Ratio levels. New
policies and programs should be developed to protect the target International Normalized Ratio levels.

Keywords

Warfarin, international normalized ratio, emergency medicine

Varfarin Kullanan Hastaların Hedef Uluslararası Normalleştirilmiş Oran Başarısı ne Kadar İyi?

Abstract

Amaç: Varfarin kullanan hastalar, acil durumları olduğunda acil
servislere başvururlar. Varfarin kullanan bir hasta acil servise
başvurduğunda  olası Uluslararası
Normalize Oran düzeyini tahmin edebilmek acil tedavi planının yapılmasına
yardımcı olabilir. Bu çalışmada acile başvuran ve varfarin kullanan hastaların
o anki spot Uluslararası Normalize Oran düzeyleri incelenerek hastaların Uluslararası
Normalize Oran kontrolündeki başarılarının gösterilmesi amaçlandı.

Materyal ve Metot: Çalışmamız bir anket  çalışmasıdır. 2071 hastadan non valvüler
nedenli varfarin kullanan, varfarin ilişkisiz bir nedenden dolayı acil servise
başvuran ve dahil etme kriterlerini karşılayan 129 hasta çalışmaya kabul
edildi.

Bulgular: Katılımcıların % 41,80’inin Uluslararası
Normalize Oran’ı terapotik aralıktaydı. Uluslararası Normalize Oranın terapotik
aralıkta olup olmamasında varfarin ilişkili kötü tecrübelerin ve eğitim almış
olmanın etkisinin olmadığı gösterildi.

Sonuç: Hastalar hedef Uluslararası Normalize Oran düzeylerini
korumada başarısızdır. Hedef Uluslararası Normalize Oranı korumak için yeni politikalar
ve programlar geliştirilmelidir.

Keywords

Varfarin, uluslararası normalleştirilmiş oran, acil servis

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