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AuthorAlshihab, Safaa
AuthorMohamed Ibrahim, Mohamed Izham
AuthorHadi, Muhammad Abdul
AuthorSyed, Abdullah
AuthorArabi, Abdulrahman
AuthorAl-Qahtani, Awad
AuthorAlmujalli, Hanan
AuthorRafie, Ihsan
AuthorAl-Kuwari, Mohamed Gaith
AuthorKandy, Mujeeb
AuthorAl-Zaidan, Manal
Available date2024-05-19T11:23:06Z
Publication Date2024
Publication NameCurrent Problems in Cardiology
ResourceScopus
Identifierhttp://dx.doi.org/10.1016/j.cpcardiol.2024.102427
ISSN1462806
URIhttp://hdl.handle.net/10576/55107
AbstractBackground: Warfarin management is associated with severe complications, highlighting the critical need to evaluate the quality of its administration. Objectives: To evaluate the quality of warfarin management for patients managed in primary healthcare centers by measuring the percentage of Time in Therapeutic Range (TTR) and the proportion of extreme out-of-range international normalized ratio (INR) values. Methods: This is a cross-sectional study. Data was extracted from a national dataset retrieved from the largest primary healthcare provider in Qatar. TTR was calculated using the traditional method. Inferential and descriptive analyses were performed as appropriate. Results: Four hundred ninety-four patients met the inclusion criteria. The mean (SD) TTR was 45.3 % (17.5). This was significantly lower than the recommended cutoff value (P<0.001). Extreme out-of-range INR accounted for 24.7 % of total INR readings. Conclusions: The management of patients taking warfarin in Qatar is inadequate. More effective strategies are warranted to ensure safe and effective therapy.
SponsorOpen Access funding provided by the Qatar National Library. We thank the Business and Health Intelligence team at PHCC for their help in extracting data from the electronic records, which greatly contributed to the quality of this manuscript.
Languageen
PublisherElsevier
SubjectAnticoagulants
Primary health care
Time in therapeutic range
Warfarin
TitleEvaluation of warfarin management in primary health care centers in Qatar: A retrospective cross-sectional analysis of the national dataset
TypeArticle Review
Issue Number4
Volume Number49
dc.accessType Open Access


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