P428 NURSING AND AF: SIX YEARS EXPERIENCES OF THE DOAC CLINIC
| Autor: | L Pagliani, J Magoga, C Colledan, G Denas, F Antonini–Canterin, I Bertoldo |
|---|---|
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | European Heart Journal Supplements. 25:D213-D214 |
| ISSN: | 1554-2815 1520-765X |
| DOI: | 10.1093/eurheartjsupp/suad111.495 |
| Popis: | Oral anticoagulant therapy (OAT) is the treatment of choice in thromboembolic prevention in patients with AF. Starting from the indications of the regional laws that outline the Diagnostic Therapeutic Path, the need arose in our area to create a divisional clinic dedicated to the diagnosis and treatment of AF. The task of the team (Cardiologists, Nurses, GPs, secretariat) was to monitor the number of patients being treated with DOACs through AIFA PTs drawn up; Verify adherence to regional guidelines, analyze adherence to therapy; Prepare a protocol for the management of complications and emergencies; Ensure that the departments and services authorized to prescribe OACs take charge, in close collaboration with GPs who since June 2020 have become active prescribers and also actors in patient follow–up; Taking care of the training of the prescribers themselves and the education of patients through hospital meetings dedicated to guided counseling and, finally, monitoring the pharmaceutical expenditure of the OAC on the total prescriptions of the local health unit of competence in compliance with the regional indicators prepared. In our hospital, the pilot project started in 2017 (7632 patients currently in FU). In the three–year period 2017–19, an average of 700 therapeutic plans were collected for renewal/first prescription per year (58.3 plans/month) to be monitored in subsequent years. In the three–year period 2020–2022, which saw the difficulty of organizing activities due to the pandemic emergency, 903, 945 and 1090 PTs were analyzed respectively with an average of 89 plans/month, maintaining almost 75% of face–to–face visits compared to telemedical contacts set up in the pandemic context. As appears from the data, therefore, there is a strong need for diagnostic and therapeutic assistance pathways to be increasingly organised. Despite the emergency period and despite a framework in which local medicine could have assisted the clinical and bureaucratic effort, no reduction in the care burden has occurred and indeed the constant increase in patients intercepted makes the complexity and difficulty of a correct clinical classification understandable and management support of the patient with the need for OAT. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|