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Revista chilena de cardiología

versão On-line ISSN 0718-8560

Resumo

NIETO, Elena et al. Impact of tele-medicine for control of oral anticoagulant treatment. Rev Chil Cardiol [online]. 2016, vol.35, n.1, pp.25-31. ISSN 0718-8560.  http://dx.doi.org/10.4067/S0718-85602016000100003.

Background: Starting in 2014 telemedicine has been used to control oral anticoagulant treatment (OAT) in patients attending a peripheral hospital (Curacaví), in connection with Hospital San Juan de Dios, based in Santiago. Methods: A license for video conference was available to communicate both hospitals. Capillary INR and medications were available at Curacaví Hospital. Results: Between June 2014 and December 2015, 2174 indications for OAT have been made through tele-medicine. Different estimates of quality of care and user satisfaction have been rated > 6.7 (1-7 scale). Percent of INR measurements in therapeutic range was 58.3% in Curacavi and 50.8% at Hospital San Juan de Dios (p<0.05) and time in therapeutic range was 50.6% vs 42.6%, respectively (p<0.05) Conclusion: Tele-medicine allowed a close relationship between remote medical facilities and a complex medical center and was fully validated as a means of controlling OAT with a high degree of acceptance by patients.

Palavras-chave : Telemedicine; oral anticoagulant treatment; Capillary INR.

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