Evaluation of warfarin management in primary health care centers in Qatar : A retrospective cross-sectional analysis of the national dataset

Copyright © 2024. Published by Elsevier Inc..

BACKGROUND: Warfarin management is associated with severe complications, highlighting the critical need to evaluate the quality of its administration.

OBJECTIVES: To evaluate the quality of warfarin management for patients managed in primary healthcare centers by measuring the percentage of Time in Therapeutic Range (TTR) and the proportion of extreme out-of-range international normalized ratio (INR) values.

METHODS: This is a cross-sectional study. Data was extracted from a national dataset retrieved from the largest primary healthcare provider in Qatar. TTR was calculated using the traditional method. Inferential and descriptive analyses were performed as appropriate.

RESULTS: Four hundred ninety-four patients met the inclusion criteria. The mean (SD) TTR was 45.3 % (17.5). This was significantly lower than the recommended cutoff value (P<0.001). Extreme out-of-range INR accounted for 24.7 % of total INR readings.

CONCLUSIONS: The management of patients taking warfarin in Qatar is inadequate. More effective strategies are warranted to ensure safe and effective therapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:49

Enthalten in:

Current problems in cardiology - 49(2024), 4 vom: 31. März, Seite 102427

Sprache:

Englisch

Beteiligte Personen:

Alshihab, Safaa [VerfasserIn]
Mohamed Ibrahim, Mohamed Izham [VerfasserIn]
Hadi, Muhammad Abdul [VerfasserIn]
Syed, Abdullah [VerfasserIn]
Arabi, Abdulrahman [VerfasserIn]
Al-Qahtani, Awad [VerfasserIn]
Almujalli, Hanan [VerfasserIn]
Rafie, Ihsan [VerfasserIn]
Al-Kuwari, Mohamed Gaith [VerfasserIn]
Kandy, Mujeeb [VerfasserIn]
Al-Zaidan, Manal [VerfasserIn]

Links:

Volltext

Themen:

5Q7ZVV76EI
Anticoagulants
Journal Article
Primary health care
Review
Time in therapeutic range
Warfarin

Anmerkungen:

Date Completed 04.03.2024

Date Revised 04.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.cpcardiol.2024.102427

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367912856