#jointcommissionjournal Virtual Education for Patient Self-Testing for #Warfarin Therapy is Effective During #COVID19 Pandemic #meded @PlumAnalytics doi.org/10.1016/j.jcjq… #stoptheclot
#jointcommissionjournal Prior to #COVID19 pandemic, #warfarin users were required to complete in-person training in order to participate in approved #INR patient self-testing programs (PST)
#jointcommissionjournal To minimize in-person contact during pandemic, a federal waiver of in-person training requirement allowed new pts to begin #PST after completing #virtualtraining
#jointcommissionjournal #INR results for pts w/ #virtualtraining upon #PST commencement b/w April1, 2020-Dec31, 2020 were compared to those of pts initiating PST with in-person training between April1, 2019-Dece31, 2019
#jointcommissionjournal primary outcome was difference in #warfarin time in therapeutic range (#TTR) b/w groups, w/ secondary outcomes including differences in the percentages of INR values within individually prescribed INR range & of critical INR values.
#jointcommissionjounral records of 33,683 pts were included in analysis (13,568 In-Person; 20,115 Virtual). Pts in the Virtual sample achieved a TTR of 66.78% as compared to the In-Person sample (64.19%; absolute difference 2.59%; CI 2.50%, 2.68%; p<0.001).
#jointcommissionjournal #TTR values were also statistically significantly higher in all subgroups evaluated across categories of pt age, gender, geography & indication. Similarly favorable results were achieved for #INR values in range and critical values.
#jointcommissionjournal Virtual education for #PST for #warfarin therapy is effective & should continue to be an option for pts & providers throughout the pandemic, and possibly beyond
#jointcommissionjounral #virtualcare @JAMAHealthForum #meded #patientsafety #qualityimprovement #pandemic #innovation #primarycare #medtwitter doi:10.1001/jamahealthforum.2020.0900