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

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?

Öz

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.

Anahtar Kelimeler

• Varfarin,uluslararası normalleştirilmiş oran,acil servis

Kaynakça

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