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Decentralization and Virtualization of INR-based Anticoagulation Control During the COVID-19 Pandemic

Abdulrahman Almesned1, Abdullah Alqwaee1, Bayan Abusiryeh2

  • 1Department of Pediatric Cardiology, Prince Sultan Cardiac Center, Maternity and Children Hospital, Buraidah, Al Qassim, Saudi Arabia.

Cardiovascular & Hematological Disorders Drug Targets
|November 3, 2023
PubMed

Insights

Decentralizing and virtualizing anticoagulation clinics maintained therapeutic ranges and patient satisfaction during the COVID-19 pandemic. These models offer effective alternatives for managing anticoagulation care.

Area of Science:

  • Cardiology
  • Public Health

Background:

  • Anticoagulation management is crucial for patients with valvular heart disease.
  • The COVID-19 pandemic necessitated innovative healthcare delivery models.

Purpose of the Study:

  • To assess the effectiveness of decentralized and virtual anticoagulation clinics before and during the COVID-19 pandemic.

Main Methods:

  • A cohort study was conducted at Prince Sultan Cardiac Clinics, Saudi Arabia.
  • Evaluated time in therapeutic range (TTR), adherence, and patient satisfaction.
  • Implemented decentralization across 13 primary healthcare centers and utilized virtual appointments via WhatsApp.

Main Results:

  • 80% of patients achieved therapeutic INR levels post-virtualization.
  • 90% of patients reported satisfaction with the virtual clinic experience.
  • The study included 5616 participants, with an average of 1.3 visits per patient per month.

Conclusions:

  • Decentralized and virtual INR clinics can achieve comparable Time in Therapeutic Range (TTR) results to traditional models when implemented effectively.
  • These models demonstrate feasibility and patient acceptance for anticoagulation management.
Abstract

Keywords:
COVID-19CardiacTelehealthanticoagulationvirtualwarfarin.

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