Impacto de la atención farmacéutica en la calidad del tratamiento con acenocumarol en pacientes con fibrilación auricular / Effects of pharmaceutical counseling on the effectiveness of anticoagulation in patients with atrial fibrillation
Rev. méd. Chile
;
149(5): 724-732, mayo 2021. ilus, tab
Article
in Spanish
| LILACS
| ID: biblio-1389509
ABSTRACT
Background:
Vitamin K antagonists such as acenocoumarol and warfarin are usually indicated for the treatment of Atrial Fibrillation (AF). The Therapeutic Range Time (TRT) is a quality of treatment indicator. Values greater than 65% are associated with significantly lower stroke and bleeding rates. Proper pharmaceutical care improves TRT.Aim:
To evaluate the impact of pharmaceutical care in patients with AF treated with acenocoumarol. Material andMethods:
We studied 41 patients using acenocoumarol for AF aged 71 ± 11 years (43% women). They received pharmaceutical counseling during 12 weeks. TRT was calculated retrospectively for the year before counseling and prospectively during the intervention period.Results:
After receiving pharmaceutical counseling TRT improved from 29% at baseline to 46% at the end of the intervention (p < 0.01). After pharmaceutical care, the adherence of patients to drug treatment improved from 27% at baseline to 85% at the end of the study. The user satisfaction survey of the pharmaceutical care received showed a high degree of patient satisfaction.Conclusions:
Pharmaceutical care in patients with oral anticoagulant treatment improves TRT of anticoagulation. It is accepted and positively evaluated by patients.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Atrial Fibrillation
/
Pharmaceutical Preparations
/
Stroke
Type of study:
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2021
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital San Juan de Dios/CL
/
Hospital San Luis de Buin/CL
/
Servicio de Salud Metropolitano Occidente/CL
/
Universidad de Chile/CL
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