Anticoagulation Clinical Trial
Official title:
Prospective Evaluation of an Extended Interval of INR Follow-up in a VA Anticoagulation Service
The purpose of this study is to determine the feasibility, safety, and acceptability of
implementing an extended interval of INR follow-up in Veterans on a stable dose of warfarin
in the Anticoagulation Clinic at the William S. Middleton Memorial Veterans Hospital.
All participants will be provided usual care from the anticoagulation clinic, except for the
interval between INRs. If the participant continues to be on a stable dose of warfarin and
the INRs are within the goal range of 2-3 (including lab variation), follow-up visits will be
scheduled following an extended interval protocol. Patient satisfaction will be evaluated at
various points throughout the study. Additionally provider satisfaction, confidence, and
knowledge of the extended interval protocol will be analyzed. Bleeding and thromboembolic
events will be evaluated to ensure the safety of an extended follow-up interval.
The purpose of this study is to determine the feasibility, safety, and acceptability of
implementing an extended interval of INR follow-up in Veterans on a stable dose of warfarin
in the Anticoagulation Clinic at the William S. Middleton Memorial Veterans Hospital.
All participants will be provided usual care from the anticoagulation clinic, except for the
interval between INRs. If the participant continues to be on a stable dose of warfarin and
the INRs are within the goal range of 2-3 (including lab variation), follow-up visits will be
scheduled following an extended interval protocol, from 5-6 weeks, to 7-8 weeks, to 11-12
weeks and then continued with 11-12 week visits if INRs continue to remain in goal range and
appropriate for the patient. Patient satisfaction will be evaluated at baseline, 6-, 12-, and
24-months. Additionally provider satisfaction, confidence, and knowledge of the extended
interval protocol will be analyzed. Bleeding and thromboembolic events will be evaluated to
ensure the safety of an extended follow-up interval.
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT02705976 -
Prospective Trial of a Validated Algorithm for Warfarin Dosing
|
N/A | |
Active, not recruiting |
NCT04139525 -
Comparison of Citrate and Heparin Anticoagulation During Hemodialysis With MCO PES-PVP (Theranova) Membrane
|
N/A | |
Completed |
NCT01907048 -
Patient and Physician Knowledge of Key Safety Messages
|
||
Recruiting |
NCT03419923 -
Three Anticoagulation Strategies for Hemodialysis in Patients at Risk of Hemorrhage
|
N/A | |
Completed |
NCT03575936 -
Enhanced Pharmacist-Managed Anticoagulation Service in a University-based Family Medicine Clinic
|
N/A | |
Completed |
NCT02714855 -
Apixaban in the Prevention of Stroke and Systemic Embolism in Patients With Atrial Fibrillation in Real-Life Setting in France
|
N/A | |
Recruiting |
NCT01314235 -
Influence of Clonidine on Thrombozytes of Blood of Patients Under Anticoagulation Therapy With ASS and Clopidogrel
|
N/A | |
Withdrawn |
NCT04059965 -
AntiCoagulation Tracking InterVention and Evaluation
|
N/A | |
Recruiting |
NCT02987192 -
Minimally Invasive Lumbar Aneasthesia Used for Cesarean Section
|
N/A | |
Completed |
NCT01477528 -
Study of Reduced Anti-coagulation/Anti-platelet Therapy in Patients With the HeartMate II Left Ventricular Assist System (LVAS) (TRACE)
|
||
Recruiting |
NCT04405232 -
Coagulopathy in COVID19 - A Multi-Centre Observational Study in UK
|
||
Recruiting |
NCT02761941 -
Excessive Warfarin Anticoagulation - Causes and Consequences
|
N/A | |
Completed |
NCT01884337 -
Multi-center Study to Evaluate the Safety of Apixaban (BMS-562247) in Indian Subjects Undergoing Elective Total Knee Replacement or Total Hip Replacement Surgery
|
Phase 4 | |
Recruiting |
NCT03473132 -
Assessment of Coagulation Factor Levels in Left Ventricular Device (LVAD )Patients Following Temporary Warfarin Reversal With Four Factor Prothrombin Complex Concentrate (4F-PCC)
|
Phase 4 | |
Enrolling by invitation |
NCT05305612 -
Optimal PeriproCeduraL AnticOagulation in Structural Transseptal Interventions
|
Phase 4 | |
Completed |
NCT03662594 -
Growth of High-Quality Oxides on The Inner Surface of ECMO Circuit by ALD to Reduce Thrombus Formation
|
N/A | |
Active, not recruiting |
NCT03910933 -
Electronic KIDCLOT Interactive Thrombosis/Thrombophilia Education; A Quality Assurance Initiative
|
||
Completed |
NCT02492828 -
Adherence of Apixaban and Warfarin in Patients With Arterial Fibrillation in Real-world Setting in Sweden
|
N/A | |
Completed |
NCT03684395 -
Accessibility to New Drugs Versus SOC in Sweden
|
||
Completed |
NCT01124058 -
Evaluation of Maintenance Dosing vs Loading Dosing Upon Restarting Warfarin Therapy: A Prospective Randomized Trial
|
Phase 1 |