Key result
Among patients using warfarin for non-valvular reasons presenting to the emergency department, only 41.8% had spot INR values within the therapeutic range.
Why the study?
When patients taking warfarin present to emergency departments, being able to estimate their INR level can assist in emergency treatment planning.
Cross-Sectional (n=122)
No
More than half of patients on warfarin presenting to the emergency department have out-of-range INR levels, highlighting the need for better anticoagulation management strategies.
Frequent out-of-range INRs among warfarin users in the ED signal management gaps; leaves open whether targeted interventions improve control.
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.
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Temrel et al. (2019) conducted a cross-sectional in Warfarin use for non-valvular reasons (n=122). Warfarin was evaluated on Spot International Normalized Ratio (INR) levels within the therapeutic range. Among patients using warfarin for non-valvular reasons presenting to the emergency department, only 41.8% had spot INR values within the therapeutic range.
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