On warfarin Anticoagulant Discharge Telemedicine Telephone follow-
Conditions
Interventions
Following discharge of the participants in the telephone follow-
up group,
pharmacists made one telephone call before the next follow-
up on the following day based on their scheduled visit: day 3 for a 1 week scheduled visit,
day 7 for a 2 weeks scheduled visit,
and day 14 for a 3 or 4 week scheduled visit. For the second and subsequent visits within the 3-
month study period pharmacists continued to make telephone calls on a regular interval as follow: day 3 for a 1 week scheduled visit
days 3 and 7 for a 2 weeks scheduled visit,
days 3,
and 14 for a 3 weeks scheduled visit
and days 7,
and 21 for a 4 weeks scheduled visit.
During each 10-
25 minute telephone call,
pharmacists performed medicine use review by enquiring patients about problems/obstacles in undertaking warfarin including adverse events and complications,
assessing medication adherence,
and giving reminders for the next scheduled visits. Pharmacists promptly addressed any problems identified during the telephone call with patients.,standard pharmacy service for patients discharged wi
which included (i) assess for an appropriateness of warfarin dose,
(ii) check for warfarin-
Sponsors
Naresuan University Postgraduate Student Fund
Eligibility
Sex/Gender
All
Age
20 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients aged 20 years or older were eligible for inclusion if they were (i) prescribed with warfarin upon discharge, (ii) had no schedule for surgery within three months after discharge, (iii) were able to manage their own medication, (iv) could communicate in Thai, and (v) possess a telephone.
Exclusion criteria
Exclusion criteria: Those who already took warfarin before admission and had INR values in target ranges throughout the past three months were excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| International normalized ratio (INR) Every visits for 3 months All INR testing were performed with ACL TOP 300 CTS,Time in therapeutic range (TTR) Month 3 Calculated with Rosendaal method using INR measured at all warfarin clinic visits | — |
Secondary
| Measure | Time frame |
|---|---|
| Complications or adverse events associated with warfarin Every visit for 3 months Warfarin clinic records and self report | — |
Countries
Thailand
Contacts
Public ContactNatthaporn Na Ayutthaya
Kamphaeng Phet Hospital
Outcome results
None listed