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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1998-12-29
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pubmed:abstractText |
A cohort of patients with an INR >7.0 were identified prospectively and compared with a group of patients with stable anticoagulant control. During the study 15,100 INR measurements were recorded and 31 (0.2%) were >7.0. Odds ratios of patient characteristics were calculated as an estimate of relative risk for the development of a high INR. The highest risk factor was a target INR of 3.5 (OR 7.3, 95% CI 2.6-20.2). The second highest risk factor was antibiotic therapy in the 4 weeks preceding the high INR (OR 6.2, 95% CI 1.4-27.7). Bleeding was reported more frequently in the high INR group (OR 5.4, 95% CI 2.1-13.9). Five major bleeds occurred in this group compared to none in the stable group. This analysis identifies risk factors for over-anticoagulation and hence when to intensify monitoring and when to consider pre-emptive warfarin dose reductions.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0007-1048
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
103
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
422-4
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9827914-Adult,
pubmed-meshheading:9827914-Aged,
pubmed-meshheading:9827914-Aged, 80 and over,
pubmed-meshheading:9827914-Anti-Bacterial Agents,
pubmed-meshheading:9827914-Anticoagulants,
pubmed-meshheading:9827914-Blood Coagulation,
pubmed-meshheading:9827914-Drug Administration Schedule,
pubmed-meshheading:9827914-Drug Interactions,
pubmed-meshheading:9827914-Hemorrhage,
pubmed-meshheading:9827914-Humans,
pubmed-meshheading:9827914-International Normalized Ratio,
pubmed-meshheading:9827914-Middle Aged,
pubmed-meshheading:9827914-Prospective Studies,
pubmed-meshheading:9827914-Risk Factors,
pubmed-meshheading:9827914-Warfarin
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pubmed:year |
1998
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pubmed:articleTitle |
Analysis of risk factors for over-anticoagulation in patients receiving long-term warfarin.
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pubmed:affiliation |
Department of Haematology, Addenbrooke's NHS Trust, Cambridge.
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pubmed:publicationType |
Journal Article
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