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Weekly Monitoring Strategy of Capillary INR Versus Monthly Monitoring Strategy of Venous INR in Elderly Patients in a Nursing Home.

Sponsored by Centre Hospitalier Universitaire de Nīmes

About this trial

Last updated a year ago

Study ID

2022-A00516-37

Status

Recruiting

Type

Interventional

Phase

N/A

Placebo

No

Accepting

18-75 Years
60+ Years
All
All

Not accepting

Not accepting
Healthy Volunteers

Trial Timing

Started 3 years ago

What is this trial about?

This primary care study aims to compare the "time in therapeutic range" (TTR) of two strategies for monitoring the international normalized ratio (INR) over 6 months in nursing homes. The population consists of frail elderly patients for whom Anti-Vitamin K treatments are frequent, and who are consequently more prone to embolic and hemorrhagic complications.

What are the Participation Requirements?

Inclusion Criteria: The population corresponds to nursing homes patients treated with
Vitamin K Antagonists for more than six months, because INRc cannot be used while
anticoagulation treatment is being introduced.

- The patient or his/her trusted-person/legal representative/tutor signed the consent
form

- The patient is an adult and lives in a nursing home

- The patient has been on treatment with Vitamin K Antagonists for more than six
months

- The patient's target INR range is 2,5 [2-3] or 3 [2,5-3,5]

- The patient is affiliated to a health insurance program

Exclusion Criteria:

- The patient is participating in a Type 1 interventional study involving human beings
(Jardé law).

- The patient is in an exclusion period determined by another study

- The patient is under safeguard of justice.

- It is not possible to give the patient (or his/her trusted-person/legal
representative/tutor) informed information.

- The patient has a short life expectancy (< 1 month)

- The Karnofky index is ≤ 20%

Locations

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Status

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