启用蓝牙的护理点INR设备验证用于华法林管理
Robert D McBane1, Jennifer Lutz2, Carlee O'Connor3
1Gonda Vascular Center, Mayo Clinic, Rochester, MN, 55905, United States of America; Cardiovascular Department, Mayo Clinic, Rochester, MN, 55905, United States of America.
两个护理点INR设备Vantus和CoaguChek显示出高精度和与血INR值的相关性. 两种设备都显示了华法林管理的适当剂量建议.
科学领域:
- 医疗器械 医疗器械
- 临床化学 临床化学
- 药理学 药理学 是一个学科.
背景情况:
- 有效的华法林管理依赖于准确的INR监测.
- 患者自我测试的临床INR测试需要准确性,数据完整性和及时沟通.
- 验证POC设备以无传输INR数据到电子病历至关重要.
研究的目的:
- 为了验证一个支持蓝牙的POC INR设备,以便快速将INR传输到电子医疗记录.
- 为了比较两个POCINR设备 (Vantus和CoaguChek) 与等离子体INR参考器件的准确性.
主要方法:
- 一项多中心研究将两种商用POC INR装置 (Vantus,CoaguChek) 与血INR参考装置进行了比较.
- 151名华法林治疗患者在梅奥诊所的三个地点被招募.
- 对于每种设备,剂量决定的适当性都被评估.
主要成果:
- 两种Vantus和CoaguChek设备都显示出与血INR的高度一致性.
- 88.7%的Vantus值和86.1%的CoaguChek值在0.4INR单位的血INR范围内.
- 在不同设备之间,适当的剂量建议是相似的 (Vantus 82.7%,CoaguChek 83.4%).
结论:
- 来自CoaguChek和Vantus设备的INR值与血INR有很强的相关性.
- 这些POC设备与血INR相比,没有系统偏差.
- 这些设备适用于华法林管理中的准确INR监测.
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