keyword
https://read.qxmd.com/read/37982265/association-of-depression-and-adherence-to-oral-anticoagulation-in-patients-with-atrial-fibrillation
#1
JOURNAL ARTICLE
Matthew E Lapa, Gretchen M Swabe, Jared W Magnani
BACKGROUND: Adherence to oral anticoagulation is essential for stroke prevention in atrial fibrillation (AF). Depression has been associated with decreased adherence to medications in multiple disease states and in AF is further associated with increased risk of stroke. We hypothesized that individuals with depression and AF have decreased adherence to anticoagulation than those without depression. METHODS AND RESULTS: We used administrative claims data to identify individuals with AF initiating anticoagulation with direct-acting oral anticoagulants (DOACs) or warfarin between 2013 and 2019...
November 20, 2023: Journal of the American Heart Association
https://read.qxmd.com/read/36882341/race-ethnicity-sex-and-socioeconomic-disparities-in-anticoagulation-for-atrial-fibrillation-a-narrative-review-of-contemporary-literature
#2
REVIEW
Danielle J Daly, Utibe R Essien, Marcela G Del Carmen, Benjamin Scirica, Adam N Berman, Jennifer Searl Como, Jason H Wasfy
Atrial fibrillation (AF) is the most prevalent arrhythmia in the United States and is responsible for 1 in 7 ischemic strokes. While anticoagulation is effective at preventing strokes, prior work has highlighted significant disparities in anticoagulation prescribing. Furthermore, racial, ethnic, sex, and socioeconomic disparities in AF outcomes have been described. As such, we aimed to review recent data on disparities with respect to anticoagulation for AF published between January 2018 and February 2021. The search string consisted of 7 phrases that combined AF, anticoagulation, and disparities involving sex, race, ethnicity, income, socioeconomic status (SES), and access to care and identified 13 relevant articles...
March 5, 2023: Journal of the National Medical Association
https://read.qxmd.com/read/31779926/cognitive-decline-over-time-in-patients-with-systolic-heart-failure-insights-from-warcef
#3
JOURNAL ARTICLE
Tetz C Lee, Min Qian, Yutong Liu, Susan Graham, Douglas L Mann, Koki Nakanishi, John R Teerlink, Gregory Y H Lip, Ronald S Freudenberger, Ralph L Sacco, Jay P Mohr, Arthur J Labovitz, Piotr Ponikowski, Dirk J Lok, Kenji Matsumoto, Conrado Estol, Stefan D Anker, Patrick M Pullicino, Richard Buchsbaum, Bruce Levin, John L P Thompson, Shunichi Homma, Marco R Di Tullio
OBJECTIVES: This study sought to characterize cognitive decline (CD) over time and its predictors in patients with systolic heart failure (HF). BACKGROUND: Despite the high prevalence of CD and its impact on mortality, predictors of CD in HF have not been established. METHODS: This study investigated CD in the WARCEF (Warfarin versus Aspirin in Reduced Ejection Fraction) trial, which performed yearly Mini-Mental State Examinations (MMSE) (higher scores indicate better cognitive function; e...
December 2019: JACC. Heart Failure
https://read.qxmd.com/read/31205676/patient-focused-interventions-to-support-vulnerable-people-using-oral-anticoagulants-a-narrative-review
#4
REVIEW
Angela Yiu, Beata Bajorek
The aim of this review was to identify patient-focused interventions that have been trialed to support vulnerable patient populations taking oral anticoagulants (warfarin and the direct-acting oral anticoagulants (DOACs)) such as older persons (65 years and over), those with limited health literacy, and those from culturally and linguistically diverse (CALD) backgrounds. This review also aimed to report on the effects of these interventions on outcomes relevant to the use of anticoagulant therapy. Original articles published between 1 January 1995 and 30 June 2017 were identified using several electronic databases such as Medline, Ovid, Embase, Scopus, Cochrane, and Google Scholar...
2019: Therapeutic Advances in Drug Safety
https://read.qxmd.com/read/24155824/educating-patients-about-warfarin-therapy-using-information-technology-a-survey-on-healthcare-professionals-perspectives
#5
JOURNAL ARTICLE
Sayeed Nasser, Judy Mullan, Beata Bajorek
OBJECTIVE: To explore healthcare professionals' views about the benefits and challenges of using information technology (IT) resources for educating patients about their warfarin therapy. METHODS: A cross-sectional survey of both community and hospital-based healthcare professionals (e.g., doctors, pharmacists and nurses) involved using a purpose-designed questionnaire. The questionnaires were distributed using a multi-modal approach to maximise response rates. RESULTS: Of the total 300 questionnaires distributed, 109 completed surveys were received (43...
April 2012: Pharmacy Practice
https://read.qxmd.com/read/23565981/statin-therapy-and-levels-of-hemostatic-factors-in-a-healthy-population-the-multi-ethnic-study-of-atherosclerosis
#6
JOURNAL ARTICLE
N B Adams, P L Lutsey, A R Folsom, D H Herrington, C T Sibley, N A Zakai, S Ades, G L Burke, M Cushman
BACKGROUND: HMG-CoA reductase inhibitors (statins) reduce the risk of venous thromboembolism (VTE) in healthy people. Statins reduce levels of inflammation biomarkers; however, the mechanism for the reduction in VTE risk is unknown. AIM: In a large cohort of healthy people, we studied associations of statin use with plasma hemostatic factors related to VTE risk. METHODS: Cross-sectional analyses were performed in the Multi-Ethnic Study of Atherosclerosis (MESA), a cohort study of 6814 healthy men and women aged 45-84 years, free of clinical cardiovascular disease at baseline; 1001 were using statins at baseline...
June 2013: Journal of Thrombosis and Haemostasis: JTH
https://read.qxmd.com/read/21337118/practical-management-approaches-to-anticoagulation-non-compliance-health-literacy-and-limited-english-proficiency-in-the-outpatient-clinic-setting
#7
REVIEW
Irina Seliverstov
Warfarin is a widely used oral anticoagulant. It is highly efficacious for the treatment and prevention of thromboembolic disorders despite its narrow therapeutic window. Poor compliance with warfarin is common and a major contributor to poor anticoagulation control. A number of psychosocial issues (e.g. depressive symptoms, attitudinal and behavioral factors, cognitive function, lack of social support, limited English proficiency, health illiteracy) have been associated with warfarin non-compliance among patients in anticoagulation clinics...
April 2011: Journal of Thrombosis and Thrombolysis
https://read.qxmd.com/read/19171448/language-literacy-and-characterization-of-stroke-among-patients-taking-warfarin-for-stroke-prevention-implications-for-health-communication
#8
COMPARATIVE STUDY
Margaret C Fang, Praveen Panguluri, Edward L Machtinger, Dean Schillinger
OBJECTIVE: Warfarin is a medication commonly prescribed to prevent strokes associated with certain medical conditions such as atrial fibrillation; however, little is known about how people taking warfarin perceive the goal of therapy and how they describe strokes. We assessed the stroke-related health literacy of anticoagulated patients to inform ways in which to improve health communication among people taking warfarin. METHODS: We conducted a mixed-methods study of an ethnically and linguistically diverse sample of people taking warfarin to prevent stroke (N=183) and measured literacy using the short-form Test of Functional Health Literacy in Adults...
June 2009: Patient Education and Counseling
https://read.qxmd.com/read/18572373/increasing-awareness-about-venous-disease-the-american-venous-forum-expands-the-national-venous-screening-program
#9
JOURNAL ARTICLE
Robert B McLafferty, Marc A Passman, Joseph A Caprini, Thom W Rooke, Steven A Markwell, Joanne M Lohr, Mark H Meissner, Bo G Eklöf, Thomas W Wakefield, Michael C Dalsing
OBJECTIVE: To evaluate the results of the expanded National Venous Screening Program (NVSP) as administered by the American Venous Forum. METHODS: Eighty-three physicians across 40 states participated in screening Americans for venous disease. The NVSP instrument included demographics, venous thromboembolism (VTE) risk assessment, quality-of-life (QOL) assessment, duplex ultrasound scan for reflux and obstruction, and clinical inspection. Participants received educational materials and a report card to give their physician...
August 2008: Journal of Vascular Surgery
https://read.qxmd.com/read/17274348/ethnic-variability-in-warfarin-maintenance-in-the-community-setting-a-population-based-study-in-a-managed-care-environment-in-israel
#10
COMPARATIVE STUDY
Igal Hekselman, Natan R Kahan, Martin Ellis, Ernesto Kahan
BACKGROUND: Ethnicity has been associated with variance in warfarin treatment regimens in various settings. OBJECTIVES: To determine whether ethnicity is associated with variance in patient management in Israel. METHODS: Data were extracted from the electronic patient records of Clalit Health Services clinics in the Sharon Shomron region. The study group comprised all patients treated with warfarin who performed international normalized ratio tests for at least 6 months in 2003...
January 2007: Israel Medical Association Journal: IMAJ
https://read.qxmd.com/read/17002484/the-cost-effectiveness-of-anticoagulation-management-services-for-patients-with-atrial-fibrillation-and-at-high-risk-of-stroke-in-the-us
#11
JOURNAL ARTICLE
Patrick W Sullivan, Thomas W Arant, Samuel L Ellis, Heather Ulrich
BACKGROUND: Anticoagulation therapy with warfarin is widely considered the standard of care for stoke prophylaxis in patients with atrial fibrillation who are at high risk of stroke. Community-based studies in the US have reported that the effectiveness of anticoagulation varies by management approach and that patients receiving warfarin have international normalised ratio (INR) values within the target therapeutic range less than half the time. OBJECTIVE: To estimate the lifetime societal costs and health benefits of warfarin therapy to prevent strokes, specifically in elderly patients (mean age 70 years) with atrial fibrillation who are at high risk of stroke, when anticoagulation is managed through usual care versus anticoagulation management services, where dedicated anticoagulation professionals (e...
2006: PharmacoEconomics
https://read.qxmd.com/read/16881944/health-literacy-and-anticoagulation-related-outcomes-among-patients-taking-warfarin
#12
COMPARATIVE STUDY
Margaret C Fang, Edward L Machtinger, Frances Wang, Dean Schillinger
BACKGROUND: Little is known about whether health literacy affects anticoagulation-related outcomes. OBJECTIVE: To assess how health literacy is associated with warfarin knowledge, adherence, and warfarin control (measured by the international normalized ratio [INR]). DESIGN: Survey. PARTICIPANTS: Patients taking warfarin through an anticoagulation clinic. MEASUREMENTS: Health literacy was measured using the short-form Test of Functional Health Literacy in Adults (s-TOFHLA), dichotomized as "limited" (score 0 to 22) and "adequate" (score 23 to 36)...
August 2006: Journal of General Internal Medicine
https://read.qxmd.com/read/16699355/factors-influencing-patient-knowledge-of-warfarin-therapy-after-mechanical-heart-valve-replacement
#13
JOURNAL ARTICLE
Amanda Hu, Chi-Ming Chow, Diem Dao, Lee Errett, Mary Keith
BACKGROUND AND RESEARCH OBJECTIVE: Patients with mechanical heart valves must follow lifelong warfarin therapy. Warfarin, however, is a difficult drug to manage because it has a narrow therapeutic window and potentially serious side effects. Successful anticoagulation treatment is dependent upon the patient's knowledge of this drug; however, little is known regarding the determinants of such knowledge. Therefore, the purpose of this study was to determine the influence of both in-hospital teaching practices as well as socioeconomic status and demographic variables on patients' knowledge of warfarin therapy...
May 2006: Journal of Cardiovascular Nursing
https://read.qxmd.com/read/15459514/comparison-of-stroke-risk-factors-and-outcomes-in-patients-with-english-speaking-background-versus-non-english-speaking-background
#14
COMPARATIVE STUDY
Qing Shen, Dennis J Cordato, Daniel K Y Chan, James Kokkinos
This study examined stroke risk factor profiles, management and outcomes for elderly patients with English-speaking background (ESB) and non-English-speaking background (NESB). This is an observational cohort study with both retrospective and prospective components. In total, 186 consecutive acute stroke patients aged > or =65 years admitted to our hospital were recruited over a 12-month period. Patient characteristics, stroke risk factors and management, in-hospital mortality, functional independence measurement scores before admission and at discharge, and discharge destination were recorded...
2005: Neuroepidemiology
https://read.qxmd.com/read/12668704/patients-understanding-of-anticoagulant-therapy-in-a-multiethnic-population
#15
MULTICENTER STUDY
Sunil Nadar, Nazneen Begum, Bhupinder Kaur, Sukhpreet Sandhu, Gregory Y H Lip
To investigate whether knowledge and perceptions of antithrombotic therapy differ between ethnic groups in the UK, we conducted a cross-sectional questionnaire survey of patients attending anticoagulation clinics in three Birmingham teaching hospitals. 180 consecutive patients were recruited-135 white European, 29 Indo-Asian, 16 Afro-Caribbean. The average knowledge score was 5.5 out of 9, with no significant differences between the groups. Indo-Asians were significantly less likely than the other groups to know the name of the anticoagulant they were taking (warfarin) and Afro-Caribbeans to know the condition for which they were being anticoagulated...
April 2003: Journal of the Royal Society of Medicine
1
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.