Key result
A nurse-led clinic using computerized decision support and near-patient testing was at least as effective as a hospital clinic for anticoagulation decisions.
Why the study?
Does a nurse-led clinic using onsite blood testing and a computerized decision support system maintain appropriate INRs as effectively as routine hospital care in patients requiring oral anticoagulation?
Population
224 adults (55% men) receiving warfarin across 9 general practices in Birmingham, UK.
Comparison
Nurse-led clinic in general practice using… vs Routine hospital care
Design
RCT, Randomised {allocation concealed}, unblinded
Follow-up
1 year
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Supports nurse-led primary care anticoagulation clinics with decision support; extends RCT evidence for task-shifting in chronic disease management.
RCT (n=224)
unblinded
allocation concealed
Yes
Does a nurse-led clinic using onsite blood testing and a computerized decision support system maintain appropriate INRs as effectively as routine hospital care in patients requiring oral anticoagulation?
A nurse-led primary care clinic using computerized decision support and near-patient testing is at least as effective as routine hospital care for managing oral anticoagulation.
A 2001 study conducted an RCT in oral anticoagulation (n=224). Nurse-led clinic with onsite blood testing and computerized decision support vs. Routine hospital care was evaluated on Maintaining appropriate international normalised ratios (INRs). A nurse-led clinic using computerized decision support and near-patient testing was at least as effective as a hospital clinic for anticoagulation decisions.
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