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Updated: Aug 8, 2026

Home-Based Monitor for Gait and Activity Analysis
Published on: August 8, 2019
Safe on the home watch
Insights
A new nurse-led service enables families to perform home monitoring for children requiring anticoagulation therapy. This approach reduces hospital visits by allowing remote blood monitoring and warfarin dose adjustments.
Area of Science:
- Pediatric Cardiology
- Pharmacology
Background:
- Anticoagulation therapy is essential for managing certain pediatric heart conditions.
- Frequent hospital visits for monitoring pose a significant burden on families.
Purpose of the Study:
- To evaluate a novel nurse-led home monitoring service for pediatric anticoagulation.
- To assess the feasibility and impact of remote blood monitoring on patient care.
Main Methods:
- Implementation of a nurse-led service for home-based blood monitoring.
- Careful selection and comprehensive training of families for home monitoring.
- Remote warfarin dose adjustments by a hospital-based clinical team based on family-reported results.
Main Results:
- The service facilitates home monitoring, reducing the need for hospital visits.
- Successful implementation requires rigorous family selection and training protocols.
- Hospital teams manage warfarin dose adjustments via phone consultations.
Conclusions:
- Nurse-led home monitoring is a viable and beneficial approach for pediatric patients requiring anticoagulation.
- This model improves convenience for families by minimizing hospitalizations.
- Effective implementation hinges on robust patient selection and education.
Abstract:
For some children with heart conditions anticoagulation is mandatory. A pioneering, nurse-led service allows families to monitor blood at home, saving them repeated hospital visits. Home monitoring requires careful family selection and training. Warfarin doses are adjusted by the hospital team when families phone in their results.
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