Time in therapeutic range for virtual anticoagulation clinic versus in-person clinic during the COVID-19 pandemic: a crossover study.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2022-09-01 Epub Date: 2022-10-06 DOI:10.5144/0256-4947.2022.305
Zaid Alanazi, Nawaf Almutairi, Latifah AlDukkan, Amr A Arafat, Monirah A Albabtain
{"title":"Time in therapeutic range for virtual anticoagulation clinic versus in-person clinic during the COVID-19 pandemic: a crossover study.","authors":"Zaid Alanazi,&nbsp;Nawaf Almutairi,&nbsp;Latifah AlDukkan,&nbsp;Amr A Arafat,&nbsp;Monirah A Albabtain","doi":"10.5144/0256-4947.2022.305","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>COVID-19 infection affects the quality of the medical services globally. The pandemic required changes to medical services in several institutions. We established a virtual clinic for anticoagulation management during the pandemic using the Whatsapp application.</p><p><strong>Objectives: </strong>Compare anticoagulation management quality in virtual versus in-person clinics.</p><p><strong>Design: </strong>A retrospective crossover study SETTINGS: Specialized cardiac care center PATIENTS AND METHODS: The study included patients who presented to Prince Sultan Cardiac Center in Riyadh for anticoagulation management during the pandemic from March 2020 to January 2021. We compared time in therapeutic range (TTR) in the same patients during virtual and in-person clinics. All international normalized ratio (INR) measures during the virtual clinic visits and prior ten INR measures from the in-person clinic were recorded. Patients who had no prior follow-up in the in-person clinic were excluded.</p><p><strong>Main outcome measure: </strong>TTR calculated using the Rosendaal method.</p><p><strong>Sample size: </strong>192 patients RESULTS: The mean age was 58.6 (16.6) years and 116 (60.4%) were males. Patients were diagnosed with atrial fibrillation (n=101, 52.6%), mechanical mitral valve (n=88, 45.8%), mechanical aortic valve (n=79, 41%), left ventricular thrombus (n=5, 2.6%) and venous thromboembolism (n=8, 4.2%). Riyadh residents represented 56.7% of the study population (n=93). The median (IQR) percent TTR was 54.6 (27.3) in the in-person clinic versus 50.0 (33.3) (<i>P</i>=.07).</p><p><strong>Conclusion: </strong>Virtual clinic results were comparable to in-person clinics for anticoagulation management during the COVID-19 pandemic.</p><p><strong>Limitations: </strong>Number of INR measures during the virtual clinic visits, retrospective nature and single-center experience.</p><p><strong>Conflict of interest: </strong>None.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":" ","pages":"305-308"},"PeriodicalIF":16.4000,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/11/aa/0256-4947.2022.305.PMC9557787.pdf","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5144/0256-4947.2022.305","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/10/6 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 2

Abstract

Background: COVID-19 infection affects the quality of the medical services globally. The pandemic required changes to medical services in several institutions. We established a virtual clinic for anticoagulation management during the pandemic using the Whatsapp application.

Objectives: Compare anticoagulation management quality in virtual versus in-person clinics.

Design: A retrospective crossover study SETTINGS: Specialized cardiac care center PATIENTS AND METHODS: The study included patients who presented to Prince Sultan Cardiac Center in Riyadh for anticoagulation management during the pandemic from March 2020 to January 2021. We compared time in therapeutic range (TTR) in the same patients during virtual and in-person clinics. All international normalized ratio (INR) measures during the virtual clinic visits and prior ten INR measures from the in-person clinic were recorded. Patients who had no prior follow-up in the in-person clinic were excluded.

Main outcome measure: TTR calculated using the Rosendaal method.

Sample size: 192 patients RESULTS: The mean age was 58.6 (16.6) years and 116 (60.4%) were males. Patients were diagnosed with atrial fibrillation (n=101, 52.6%), mechanical mitral valve (n=88, 45.8%), mechanical aortic valve (n=79, 41%), left ventricular thrombus (n=5, 2.6%) and venous thromboembolism (n=8, 4.2%). Riyadh residents represented 56.7% of the study population (n=93). The median (IQR) percent TTR was 54.6 (27.3) in the in-person clinic versus 50.0 (33.3) (P=.07).

Conclusion: Virtual clinic results were comparable to in-person clinics for anticoagulation management during the COVID-19 pandemic.

Limitations: Number of INR measures during the virtual clinic visits, retrospective nature and single-center experience.

Conflict of interest: None.

Abstract Image

COVID-19大流行期间虚拟抗凝诊所与面对面诊所的治疗范围时间:一项交叉研究
背景:COVID-19感染影响全球医疗服务质量。大流行病要求若干机构改变医疗服务。我们利用Whatsapp应用程序建立了大流行期间抗凝血管理的虚拟诊所。目的:比较虚拟和面对面诊所抗凝管理质量。设计:回顾性交叉研究设置:专门的心脏护理中心患者和方法:该研究包括在2020年3月至2021年1月大流行期间到利雅得苏丹王子心脏中心接受抗凝治疗的患者。我们比较了同一患者在虚拟诊所和面对面诊所的治疗范围时间(TTR)。记录虚拟诊所访问期间的所有国际标准化比率(INR)测量值以及之前10次面对面诊所的INR测量值。未在门诊进行随访的患者被排除在外。主要结局指标:采用Rosendaal方法计算TTR。结果:平均年龄58.6(16.6)岁,男性116例(60.4%)。诊断为房颤(101例,占52.6%)、机械二尖瓣(88例,占45.8%)、机械主动脉瓣(79例,占41%)、左室血栓(5例,占2.6%)和静脉血栓栓塞(8例,占4.2%)。利雅得居民占研究人口的56.7% (n=93)。面对面诊所的中位(IQR)百分比TTR为54.6(27.3),而50.0 (33.3)(P= 0.07)。结论:在COVID-19大流行期间,虚拟诊所的抗凝管理结果与现场诊所相当。局限性:虚拟诊所访问期间INR测量的数量,回顾性和单中心体验。利益冲突:无。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信