CHRISMED Journal of Health and Research

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 4  |  Issue : 3  |  Page : 166--172

Knowledge base and practice among clinicians regarding oral anticoagulant therapy: A questionnaire survey


JD David Livingston1, M Joseph John2 
1 Department of Medicine, Ruby Nelson Memorial Hospital, Jalandhar, Punjab, India
2 Department of Clinical Haematology, Haemato-Oncology, and Bone Marrow (Stem Cell) Transplant, Christian Medical College and Hospital, Ludhiana, Punjab, India

Correspondence Address:
J D David Livingston
Ruby Nelson Memorial Hospital, C1, Cantonment Road, Jalandhar - 144 005, Punjab
India

Purpose: To assess the knowledge of clinicians regarding various aspects of anticoagulant therapy. Materials and Methods: This cross-sectional study was done over 2 months among 55 clinicians at a tertiary hospital. A 30 point questionnaire based survey on various aspects of oral anticoagulant therapy was carried out. Clinician practices were also compared between physicians and surgeons. Results: Two thirds (67.3%) of the clinicians were not aware that different strengths of acitrom were not color coded. A majority (85.5%) verbally instructed their patients about the drug. Less than one fifths (18.2%) of the clinicians provided booklets and pamphlets for reference. Only 56.4% of clinicians were aware of the correct target range for INR to be achieved in patients. Dietary and drug history was not documented by 85.6% and 50.9% of clinicians respectively. Surgeons were more likely to give educational booklets to their patients, document a dietary history and instruct patients regarding concomitant alcohol use in comparison with physicians. Twenty (41.7%) clinicians reported that they encounter thrombosis as a complication in patients on OAT while 58.3% of the clinicians in the present study noted bleeding more often. Conclusion: There are significant lacunae in knowledge base among clinicians regarding oral anticoagulant therapy. More emphasis on physician education is needed for safe and optimal OAT in patients.


How to cite this article:
David Livingston J D, John M J. Knowledge base and practice among clinicians regarding oral anticoagulant therapy: A questionnaire survey.CHRISMED J Health Res 2017;4:166-172


How to cite this URL:
David Livingston J D, John M J. Knowledge base and practice among clinicians regarding oral anticoagulant therapy: A questionnaire survey. CHRISMED J Health Res [serial online] 2017 [cited 2021 May 13 ];4:166-172
Available from: https://www.cjhr.org/article.asp?issn=2348-3334;year=2017;volume=4;issue=3;spage=166;epage=172;aulast=David;type=0