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Learn. To evaluate the effect of a shared careprogramme Match com Arhus free trialdefined as a scheme based on shared responsibility, enhanced information exchange, continues medical education and explicit clinical guidelines, between general practitioners GPs and a hospital outpatient clinic HOCon oral anticoagulant therapy OAT.
Main outcome measure. Therapeutic control of OAT in terms of time spent by the patients within the therapeutic interval TI of an international normalized ratio INR between 2. The groups did not differ significantly with regard Match com Arhus free trial age, sex, OAT indication, anticoagulant drug used, or the therapeutic control at baseline.
In this context, the OAT monitoring is divided into laboratory control assessment of anticoagulant intensity at a certain point of time and therapeutic control the level of anticoagulant therapy over a certain period in time [ 2 ].
The effectiveness of laboratory control has improved by standardizing the prothrombus time PT ratio to the Lady fitness north Slagelse normalized ratio INR system as well as the introduction of internal and external control procedures [ 34 ].
However, how to organize OAT monitoring OAT managementto achieve an acceptable level of the therapeutic control, is still a complex task and a matter of debate [ 15 - 10 ]. On the other hand, coordinated hospital outpatient clinics HOCs seems to perform a quality of OAT monitoring close to that achieved in clinical trials [ 8 ].
Shared care between HOCs and general practice might be a method to optimize the therapeutic control of OAT, in the routine medical setting by combining the OAT knowledge of the hospital specialist with the GPs detailed knowledge of the patient [ 13 - 15 ].
The Tiffany holbaek dating of this study was to evaluate the effect of a shared care scheme for OAT organized between a HOC and GPs, by comparing the quality of Maych, in terms of i time spent within therapeutic interval TI of INR and ii clinical outcome in terms of bleeding and thromboembolic complications.
At the end of the observation year the identified GPs were invited to participate in a shared care model of OAT management. A total of GPs The randomization was balanced according to the number of OAT patients and GPs within each general practice.
Patients fulfilling the algorithm as being on OAT before the study or being started on OAT during the study period were included.
In addition, patients fulfilling the algorithm, but having INR determinations performed less than three times by their own GP, were excluded. Patients were followed until the end of the study, unless treatment was ceased, if moving out of the area or if death occurred. The international sensitivity index ISI during the study period has approximately varied between 0. Danmark match com free trial. Horny Wifes Seeking Married Looking For Sex Divorced Mature Wants Hot Teens.
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