ANTICOAGULATION CONTROL in Primary care

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ANTICOAGULATION CONTROLin Primary care

• Wansford surgery
• Dr Amrit Takhar

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Background

• Increasing numbers of patients identified needing
  anticoagulation
• Gradual move towards control in the community
• Research evidence showing success of primary care
  monitoring
• Availability of near patient testing

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Target INRs

• These have been determined for each patient using
  guidelines from the British Haematology Society

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Target INRs - using guidelines from the British
Haematology Society now changed
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Changed target ranges 2000

• INR target 2.5, range 2-3
• Atrial fibrillation, Single thromboembolic
  events, DVT prohylaxis including high risk
  surgery
• INR target 3.5, range 3-4
• All recurrent thromboembolic events
• Valve replacements

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INR control AUDIT

• All patients attending for INR tests were
  identified by a computer searches in March 1996 ,
  March 1998 and June 2000
• The last INR was compared with the stated target
  INR for that patient

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