Cardiopathy, Chagas Disease, Hemorrhage, Thrombosis
Conditions
Keywords
Oral anticoagulants, Warfarin, Anticoagulation clinic, Thrombosis, Hemorrhage
Brief summary
A clinical trial designed to compare the oral anticoagulation control obtained by an anticoagulation clinic and the usual medical care in Chagas and Non-Chagas disease patients.
Detailed description
A Randomized, Crossover, Clinical Trial performed to compare the results of oral anticoagulation for Chagas and non-Chagas disease patients treated at an anticoagulation clinic and by the usual clinical practice. The primary endpoint was the time that the International Normalized Ratio (INR) was in the therapeutic range and the secondary endpoints were thromboembolic/haemorragic events.
Interventions
Patients randomized to this arm will be cared at an anticoagulation clinic, with educational measures and standardized procedures related to the use of coumarins.
Patients randomized to this arm will be cared by their physician, with standard care. No standardized protocol of the use of coumarins will be established.
Sponsors
Study design
Eligibility
Inclusion criteria
* Outpatients * Chagas and non-Chagas disease patients * Any indication for chronic treatment with warfarin * Anticoagulation for at least 30 days.
Exclusion criteria
* Refusal to participate in the study; * Use of phenprocoumon; * Expectation of treatment lower than 1 year; * Difficulties to attend medical visits; * Participation in other prospective clinical study involving anticoagulation care during the study period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time in therapeutic range | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Hemorrhagic events | 1 year |
| Thromboembolic events | 1 year |
Countries
Brazil