The aim of the study was to compare self-management of anticoagulant treatment with conventional anticoagulant treatment in Norway.
Patients (n=132) on anticoagulant treatment with warfarin participated in a 21 weeks training program where they learned how to analyse International Normalised Ratio (INR) using the point-of-care instrument CoaguChek®XS and dose warfarin. The patients had to display their skills through a test before considered self-managing. They continued to measure INR weekly for two years. All INR values during the training program and self-control period were collected. In addition, the patients were told to notify if they had any complications during this period. INR values and complications two years before enrolment was collected from INR cards and/or their general practioner. The participant filled in a quality of life-questioner at enrolment and after two years of self-management.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
130
Patients were trained to measure INR and dose warfarin
Change in Time in therapeutic range (TTR)
Change in TTR from conventional treatment to self-management
Time frame: From two years before enrolment until two years of self management
Change in number of complications
Compare number of complications during conventional treatment and during self-management
Time frame: From two years before enrolment until two years of self management
Quality of life (QoL)
Time frame: Baseline before training and after two years with self-management
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