Skip to main content

Table 1 Main strategies of oral anticoagulant therapy in Spain

From: Cost-effectiveness analysis of dabigatran and anticoagulation monitoring strategies of vitamin K antagonist

Modality

Test

Dose adjustment

Comments

PSM

Patient

Patient

Dose adjustment may sometimes require telephone help from a health professional

PCpc

RN in primary care center using portable coagulometer

RN in health center

Blood samples may be taken in the patient’s home on some occasions

Hpc

RN in hospital using portable coagulometer

Specialist in hospital

Involves the addition of a portable coagulometer to the conventional centralized model

Hvp

RN in hospital using venipuncture

Specialist in hospital

Conventional centralized mode of OAT control in the so-called “Sintrom Units” in Spain.

Dabi

No monitoring

No adjustment

Dabigatran does not require dose adjustment

  1. RN Registered nurse; PSM Patient self-management; PCpc Primary care using portable coagulometry; Hpc Hospital with portable coagulometry; Hvp Hospital with venipuncture; Dabi Dabigatran