Self-monitoring and self-management of oral anticoagulation.

ABSTRACT:

Background

The introduction of point-of-care devices for the management of patients on oral anticoagulation allows self-testing by the patient at home. Patients who self-test can either adjust their medication according to a pre-determined dose-INR (international normalized ratio) schedule (self-management), or they can call a clinic to be told the appropriate dose adjustment (self-monitoring). Increasing evidence suggests self-testing of oral anticoagulant therapy is equal to or better than standard monitoring. This is an updated version of the original review published in 2010.

Objectives

To evaluate the effects on thrombotic events, major haemorrhages, and all-cause mortality of self-monitoring or self-management of oral anticoagulant therapy compared to standard monitori

SUBMITTER: Heneghan CJ 

PROVIDER: S-EPMC8078378 | biostudies-literature | 2016 Jul

REPOSITORIES: biostudies-literature