FP4 Utility of and patient satisfaction with a point-of-care anticoagulation monitoring system in a family practice residency program. (Family Practice).FP4 UTILITY OF AND PATIENT SATISFACTION WITH A POINT-OF-CARE ANTICOAGULATION MONITORINC SYSTEM IN A FAMILY PRACTICE RESIDENCY A duration of stay required by state and local laws that entitles a person to the legal protection and benefits provided by applicable statutes. States have required state residency for a variety of rights, including the right to vote, the right to run for public office, the PROGRAM. Renee M. DeHart, PharmD, Marion H. Sims, MD, and Clint D. Kreienbrink, PharmD. Medical Center East Family Practice, Birmingham, Ala. Routine monitoring of oral anticoagulation can be challenging to the practitioner, especially the rural family practice physician. One of the many challenges faced is the delay in obtaining monitoring results and communicating these effectively to patients afterwards af·ter·ward also af·ter·wards adv. At a later time; subsequently. afterwards or afterward Adverb later [Old English æfterweard] Adv. 1. . This study was performed to evaluate the utility and patient satisfaction of a point-of-care anticoagulation monitoring system in a family practice residency program in Birmingham, Alabama Birmingham (pronounced [ˈbɝmɪŋˌhæm]) is the largest city in the U.S. state of Alabama and is the county seat of Jefferson County. . All patients at the study center receiving warfarin warfarin (wôr`fərĭn), anticoagulant used to treat blood clots. In large doses it causes bleeding. Warfarin, mixed with bait, is used in rodent control. warfarin Anticoagulant drug, marketed as Coumadin. therapy during June 2001 were eligible for enrollment provided they were: over 18 years of age, could read written English, and gave informed consent agreeing to participate. Once enrolled, patients had their international normalized ratio International Normalized Ratio Hematology A method of reporting prothrombin time–PT results for Pts receiving oral anticoagulant therapy; the INR is defined by the formula, PTPatient/PTMNPT (INR INR In currencies, this is the abbreviation for the Indian Rupee. Notes: The currency market, also known as the Foreign Exchange market, is the largest financial market in the world, with a daily average volume of over US $1 trillion. ) determined via two methods: usual venipuncture venipuncture /veni·punc·ture/ (ven?i-pungk´chur) surgical puncture of a vein. ve·ni·punc·ture or ve·ne·punc·ture n. and a point-of-care device using fingerstick whole blood sampling. After testing, patients were asked three questions concerning their satisfaction with the usual method of INR testing and the point-of-care system. Thirt y-three patients were screened for enrollment, five were excluded. The remaining 28 patients ranged in age from 23 to 86 years (mean, 60 years). The goal INR was 2.0 to 3.0 in 23 patients, 2.5 to 3.5 in three patients, and 3.0 to 4.0 in two patients. A total of 40 INRs were obtained during the study period in these 28 patients. The mean INR via standard laboratory measures was 2.57. The mean INR via the point-of-care system was 2.49, yielding a mean difference between the two methods of 0.08. Patient satisfaction favored the point-of-care system, with the two methods summarized as follows:
Standard Method Point-of-Care Method
Extremely satisfied 10.7% 28.6%
Satisfied 42.9% 60.7%
Neutral 32.1% 10.7%
Dissatisified 17.9% 3.6%
Extremely dissatisfied 0 0
A point-of-care system in this study yielded results acceptable for routine practice and high level of patient satisfaction. |
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