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

<h3>Background </h3><p dir="ltr">Warfarin management is associated with severe complications, highlighting the critical need to evaluate the quality of its administration. </p><h3>Objectives </h3><p dir="ltr">To evaluate the quality of wa...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Safaa Alshihab (21633677) (author)
مؤلفون آخرون: Mohamed Izham Mohamed Ibrahim (14158896) (author), Muhammad Abdul Hadi (3704491) (author), Abdullah Syed (1631977) (author), Abdulrahman Arabi (8100536) (author), Awad Al-Qahtani (315456) (author), Hanan Almujalli (21633680) (author), Ihsan Rafie (8100533) (author), Mohamed Gaith Al-Kuwari (21633683) (author), Mujeeb Kandy (21633686) (author), Manal Al-Zaidan (8962574) (author)
منشور في: 2024
الموضوعات:
الوسوم: إضافة وسم
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الوصف
الملخص:<h3>Background </h3><p dir="ltr">Warfarin management is associated with severe complications, highlighting the critical need to evaluate the quality of its administration. </p><h3>Objectives </h3><p dir="ltr">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. </p><h3>Methods</h3><p dir="ltr">This is a cross-sectional study. Data was extracted from a national dataset retrieved from the largest <u>primary healthcare</u> provider in Qatar. TTR was calculated using the traditional method. Inferential and descriptive analyses were performed as appropriate. </p><h3>Results</h3><p dir="ltr">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. </p><h3>Conclusions</h3><p dir="ltr">The management of patients taking warfarin in Qatar is inadequate. More effective strategies are warranted to ensure safe and effective therapy.</p><h2>Other Information</h2><p dir="ltr">Published in: Current Problems in Cardiology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.cpcardiol.2024.102427" target="_blank">https://dx.doi.org/10.1016/j.cpcardiol.2024.102427</a></p>