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• W2559754373 abstract "Results: There were 40 subjects included in the study, majority of which were female (77.5%) and in the 40-50 years age range (35%). There were 21 (52.5%) patients who had valvular AF and 19 (47.5%) who had non-valvular AF. Of those patients with valvular AF, 80.9% received warfarin. Of those patients with non-valvular AF, 94.7% were at moderate or high risk for thromboembolism, but only 47.4% of those patients received warfarin. We found that only a small percentage of patients (16%) had INR in the therapeutic range of 2.0-3.0. The majority of the patients had their INR in the sub-therapeutic ranges at 40% and 24% at INR values of 1.5-1.99 and 0-1.49 respectively. The majority of the patients on warfarin had INR monitoring ≥ 30 days, and these were patients already on chronic or long-term warfarin use. Those patients who had more frequent INR monitoring were those newly initiated on the treatment whose INR values where in the sub-therapeutic range. Conclusion: The adherence of anticoagulant management among AF patients admitted at the Internal Medicine Wards of UP-PGH, to evidencebased clinical practice guidelines, was high at 80.9% for patients with valvular AF and was quite low at 47.4% for non-valvular AF patients. Patients were found to have low bleeding risks based on a HAS-BLED score and patients with moderate to high thromboembolic risk factors were more often prescribed with warfarin, although only a few patients achieved a therapeutic INR. A more frequent INR monitoring including a close follow-up with the patients should be performed to achieve target INR in most patients with AF. Moreover, we should not discount starting anticoagulation in patients with non-valvular AF who have moderate to high thromboembolic risk factors." @default.
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• W2559754373 date "2014-01-01" @default.
• W2559754373 modified "2023-09-27" @default.
• W2559754373 title "Adherence to Guidelines on Anticoagulant Management Among Adult Patients with Atrial Fibrillation at the Philippine General Hospital" @default.
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