Key result
Implementation of an inpatient warfarin management program significantly increased the rate of obtaining baseline INRs from 74% to 90% and improved multidisciplinary patient education.
Why the study?
Does an inpatient warfarin management program improve laboratory monitoring, patient education, and reduce bleeding complications in hospitalized patients receiving warfarin?
Population
227 inpatients receiving warfarin therapy for at least 5 days, mean age ~72 years, ~45% male, at a community…
Comparison
Implementation of a new inpatient… vs Historical control group of inpatients receiving…
Design
Cohort
Follow-up
Inpatient hospital stay (minimum 5 days)
Authors
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May support inpatient warfarin programs for better monitoring and education; hypothesis-generating and requires randomized confirmation.
Observational (n=227)
No
Does an inpatient warfarin management program improve laboratory monitoring, patient education, and reduce bleeding complications in hospitalized patients receiving warfarin?
Absolute Event Rate: 90% vs 74%
p-value: p=0.001
Implementing a structured inpatient warfarin management program significantly improved laboratory monitoring and patient education while reducing the need for reversal agents due to bleeding complications.
Armstrong et al. (2011) conducted an observational in Inpatients receiving warfarin (n=227). Inpatient warfarin monitoring and education program vs. Historical control (pre-implementation usual care) was evaluated on Obtaining baseline INRs (p=0.001). Implementation of an inpatient warfarin management program significantly increased the rate of obtaining baseline INRs from 74% to 90% and improved multidisciplinary patient education.
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