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Portable INR analysis prior to dental procedures: technique instruction outcomes for senior dental students
David L Hall1, Abdel R Mohammad
1Section of Primary Care, Ohio State University College of Dentistry, Columbus, OH, USA.
Objectives:
This study aimed to teach dental students to use an INRatio® (HemoSense) device, to apply the results to patients, and to evaluate the outcomes.
Design:
This was a retrospective convenience data study that used student surveys.
Setting:
The research was conducted at The Ohio State University College of Dentistry Geriatric Dental Program in Columbus, Ohio.
Participants:
A total of 105 senior dental students participated in an INRatio training program.
Methods:
The instructions involved the following: 1) a table showing INRatio protocol and dental procedures versus international normalized ratio (INR) guidelines; 2) an online technique training course, 3) a trial INRatio test on another senior dental student; and 4) INRatio for a dental patient.
Main Outcomes:
The clinical outcomes including INR values were a retrospective convenience data study. Instructional outcomes were obtained from student surveys.
Results:
A total of 79% of students indicated they would use portable INR testing in their future practices; however, 73% of students had difficulty obtaining an adequate blood sample. All patient surgical procedures were completed successfully without serious complications.
Conclusions:
This study indicates the INRatio analysis can be included in dental student training, providing safe, efficient, and successful patient care. Difficulty obtaining blood samples suggests the need for extra training, additional clinical experience, and INR devices requiring smaller blood samples.
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