通过专业的心房动中心来优化抗凝血
James Coons1, Virginia Singla2, Evan White1
1Heart and Vascular Institute, University of Pittsburgh School of Pharmacy, Pittsburgh, PA.
概括
心房动会增加中风的风险,但抗凝剂的处方往往不足. 一个健康记录查询确定了可以从抗凝药中受益的患者,在某些情况下揭示了不适当的推迟,促使专家转诊.
科学领域:
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
- 预防医学 预防医学
背景情况:
- 心房动是一种常见的疾病,也是缺血性中风的主要危险因素.
- 抗凝血疗法有效降低中风风险,但在许多患者中处方不足.
- 识别不接受抗凝药的符合条件的患者对于预防中风至关重要.
研究的目的:
- 评估健康记录数据库查询在识别非抗凝治疗的心房患者的有效性.
- 确定该患者群体中推迟抗凝治疗的原因.
- 评估这种识别过程对专家推的影响.
主要方法:
- 使用健康记录数据库查询来识别缺少活性抗凝药处方的心房的患者.
- 初级保健提供者审查了患者病历,以记录抗凝推迟的原因.
- 分析了一组已识别的患者,以寻找延期的适当原因.
主要成果:
- 数据库查询成功识别了没有接受抗凝药的心房的患者.
- 发现这些患者中很大一部分没有适当的临床理由推迟抗凝治疗.
- 这一举措导致了更多的转诊到专门的心房动护理中心.
结论:
- 健康记录查询可以有效地识别那些可能受益于抗凝药的心房患者.
- 不适当推迟抗凝剂是心房动中风预防的障碍.
- 这种系统的方法可以改善患者管理,增加获得专业护理的机会.
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