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- W2476543803 abstract "A terapêutica com anticoagulantes é uma medida eficaz na prevenção de eventos tromboembólicos. Das patologias que requerem este tratamento, a fibrilhação auricular (FA) é das que tem maior expressão a nível mundial, com uma prevalência de 1,5‐2%. Aferir a qualidade da monitorização de doentes com FA não valvular sob anticoagulantes dicumarínicos, nas unidades funcionais (UF) do concelho de Gaia. Estudo observacional retrospetivo analítico. População: doentes inscritos nas 37 UF dos ACeS Gaia e Espinho‐Gaia sob hipocoagulação com dicumarínicos, durante o ano de 2014. Fonte dos dados: TAOnet®. Variáveis estudadas: ACeS, UF, idade, género, INR, tempo em intervalo terapêutico (TTR) e terapêutica. O TTR foi calculado pelo método de interpolação linear de Rosendaal. Foram consideradas no mínimo seis visitas por doente. Tratamento estatístico: Microsoft Excel® 2010 e SPSS®21. Foram estudados 479 doentes com FA não valvular, o que correspondeu a 5883 registos. O TTR médio foi de 67,4% (± 6,5). Apresentaram mau controlo da hipocoagulação (TTR < 60%) 35,3% dos doentes. O nosso estudo revela um padrão de controlo de hipocoagulação moderado, mas superior ao encontrado noutros estudos. No entanto, consideramos que ainda há um grande potencial de melhoria nos cuidados de hipocoagulação prestados nos cuidados de saúde primários. Anticoagulant therapy is an effective measure in preventing thromboembolic adverse events. Of the diseases in which this treatment is indicated, atrial fibrillation (AF) has the highest incidence worldwide, with a prevalence of 1.5‐2%. To assess the quality of monitoring of patients with non‐valvular AF under oral anticoagulation with vitamin K antagonists in Vila Nova de Gaia healthcare units. This was a retrospective observational analytical study of the population registered at the 37 healthcare units of the Vila Nova de Gaia and Espinho health center area under oral anticoagulation with vitamin K antagonists during 2014. The data were collected using TAONet® software. The variables studied were health units, age, gender, INR value, time in therapeutic range (TTR) and medication. TTR was calculated for each patient using the Rosendaal linear interpolation method. It was stipulated that each patient should have undergone at least six INR measurements. Data were analyzed using Microsoft Excel® 2010 and SPSS® version 21, using descriptive and inferential statistical techniques. A total of 479 patients with non‐valvular AF were studied, corresponding to 5883 INR tests. Mean TTR was 67.4±6.5%, and 35.3% of patients exhibited poor control (TTR <60%). Our study showed moderate control of coagulation parameters, but better than in many international clinical trials and in another Portuguese observational study. Nevertheless, there is still room for improvement in anticoagulation monitoring in primary health care." @default.
- W2476543803 created "2016-08-23" @default.
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- W2476543803 date "2016-09-01" @default.
- W2476543803 modified "2023-09-30" @default.
- W2476543803 title "Estudo HIPOGAIA: monitorização da hipocoagulação oral com dicumarínicos no concelho de Gaia" @default.
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- W2476543803 doi "https://doi.org/10.1016/j.repc.2016.03.003" @default.
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