Journal of Thrombosis and Thrombolysis

, Volume 18, Issue 2, pp 127–143

Self-Management of Oral Anticoagulant Therapy: A Review

Article

DOI: 10.1007/s11239-004-0209-5

Cite this article as:
Christensen, T. J Thromb Thrombolysis (2004) 18: 127. doi:10.1007/s11239-004-0209-5

Abstract

Patient self-management of oral anticoagulant therapy has over the last years gained increasing attention and widespread use. The method implies self-testing using a coagulometer (point-of-care device) and self-dosaging of coumarin. The method entails advantages for selected patients, who do not need to go to the hospital or family doctor for blood specimen and drug dosage adjustment. In contrast to patients on conventional management, patients performing self-managing have a reduced binding to the health care system, and it allows these patients unhindered to travel and manage their job or school. Therefore, the patients have a high degree of compliance because they are highly motivated. This has been the main justification for patient self-management. Furthermore, the conducted trials have also indicated a better quality of treatment compared to conventional management. In this paper the different aspects of this new treatment modality are critically reviewed, with special focus on the published clinical studies and the evaluation of the used coagulometers.

oral anticoagulant therapyself-manageme- ntcoagulometerreview

Copyright information

© Springer Science+Business Media, Inc. 2004

Authors and Affiliations

  1. 1.Department of Cardiothoracic and Vascular Surgery & Clinical Institute, Skejby SygehusAarhus University HospitalAarhus NDenmark