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Related Concept Videos

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Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Anticoagulant Drugs: Low-Molecular-Weight Heparins

Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
Anticoagulant Drugs: Vitamin K Antagonists and Direct Oral Anticoagulants01:18

Anticoagulant Drugs: Vitamin K Antagonists and Direct Oral Anticoagulants

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Related Experiment Video

Updated: Jul 3, 2026

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
23:33

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation

Published on: February 28, 2012

Self-management of anticoagulation.

Marcel Levi1

  • 1Department of Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. m.m.levi@amc.uva.nl

Expert Review of Cardiovascular Therapy
|August 1, 2008
PubMed
Summary

Patients managing their own warfarin anticoagulation using portable INR devices achieve better therapeutic control and improved quality of life compared to standard care. This self-management approach enhances patient satisfaction and clinical outcomes.

Area of Science:

  • Cardiology
  • Hematology
  • Patient Self-Management

Background:

  • Vitamin K antagonist therapy, such as warfarin, necessitates frequent International Normalized Ratio (INR) monitoring and dose adjustments.
  • Suboptimal anticoagulation control (30-50% of the time) and time-consuming clinic visits negatively impact patient satisfaction.

Purpose of the Study:

  • To evaluate the efficacy and patient-reported outcomes of self-management of anticoagulation using portable coagulometers.
  • To compare self-management with traditional care models provided by general practitioners, specialists, and specialized anticoagulation clinics.

Main Methods:

  • Utilized portable coagulometers for self-measurement of INR from capillary blood.
  • Patients self-adjusted warfarin dosage based on INR readings.

Related Experiment Videos

Last Updated: Jul 3, 2026

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
23:33

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation

Published on: February 28, 2012

  • Compared outcomes with standard anticoagulation management strategies.

    • Main Results:

    • Self-management of INR and warfarin dosing led to superior anticoagulation control compared to general practitioner or specialist care.
    • Anticoagulation control in self-managing patients was comparable to that achieved in specialized anticoagulation clinics.
    • Patients engaged in self-management reported significant improvements in treatment satisfaction and quality of life.

    Conclusions:

    • Portable coagulometers empower patients to effectively self-manage warfarin therapy.
    • Anticoagulation self-management offers a viable and beneficial alternative to traditional care, improving both clinical control and patient well-being.