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February 27, 2014ASAIO Journal

Pharmacist-Managed International Normalized Ratio Patient Self-Testing Is Associated with Increased Time in Therapeutic Range in Patients with Left Ventricular Assist Devices at an Academic Medical Center

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Why the study?

Does pharmacist-managed INR patient self-testing improve percent time in therapeutic range in adult patients with LVADs treated with warfarin?

Population

55 adult patients implanted with a left ventricular assist device treated with warfarin at a single academic…

Comparison

Pharmacist-managed international normalized… vs Usual care (UC).

Design

Cohort

Authors

MBMartin A. BishopMSMichael B. StreiffCEChristopher R. Ensor

Discussion

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Overview

Pharmacist-managed PST was associated with higher TTR in LVAD patients; leaves open whether it improves outcomes or warrants practice change.

Structured PICO

Does pharmacist-managed INR patient self-testing improve percent time in therapeutic range in adult patients with LVADs treated with warfarin?

P
Population
55 adult patients implanted with a left ventricular assist device (HeartMate II or HVAD) treated with warfarin at a single academic medical center.
I
Intervention
Pharmacist-managed international normalized ratio (INR) patient self-testing (PST) using point-of-care devices.
C
Comparator
Usual care (UC).
O
Outcome
Percent time in therapeutic range (%TTR) calculated by the Rosendaal method.surrogate

Pharmacist-managed INR patient self-testing is associated with significantly increased time in therapeutic range compared to usual care in LVAD patients on warfarin.

Cite This Study

Bishop et al. (2014) studied this question.

synapsesocial.com/papers/6a82c3585011f468996d0036https://doi.org/10.1097/mat.0000000000000047
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