Integrated nurse-led oral anticoagulation management

Jeroen M.L. Hendriks, Anna Strömberg

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

The management of atrial fibrillation (AF) is a complex process because AF is not only a heart rhythm disturbance but also a vascular disease, which necessitates treatment of the arrhythmia, prevention of thromboembolic complications and treatment of the underlying cardiovascular components. Moreover, although evidence-based guidelines for AF management are available, research demonstrated poor guideline adherence in the treatment of AF, resulting in increased morbidity and mortality rates in these patients. As a consequence, current practice calls for a more comprehensive management approach. This integrated approach to care contributes to the availability of evidence-based care by redesigning daily practice while improving clinical outcomes. In this paper the fundamentals of an integrated approach to care are presented in terms of a nurse-led, guideline-based, software-supported outpatient clinic for patients with AF. Also, the effectiveness of this AF-Clinic is discussed from the viewpoint of oral anticoagulation therapy, compared with usual care.

Original languageEnglish
Pages (from-to)9-15
Number of pages7
JournalKardiovaskulare Medizin
Volume18
Issue number1
DOIs
Publication statusPublished - 21 Jan 2015
Externally publishedYes

Bibliographical note

"Cardiovascular Medicine" is an open access publication of EMH published in accordance with the terms of the Creative Commons licence attribution - NonCommercial - NoDerivatives 4.0 International. You are free to share, copy and redistribute the material in any medium or format under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
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Keywords

  • Anticoagulation
  • Atrial fibrillation
  • Integrated care management
  • Nurse-led

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