Table 7.

Clinical outcomes with usual care versus anticoagulation clinic care.

Studies
Patient Years
Major Hemorrhage
Thromboembolism
Combined
(%/pt yr) (%/pt yr) (%/pt yr)
Usual care studies*  1,537   6.8%   8.1%   ∼ 15%  
Anticoagulation clinic studies**  19,361   4.3%   4.8%   ∼ 9%  
Comparison studies:      
Usual care   944   5.7%   8.4%   ∼ 14%  
vs      
Anticoagulation clinic#  986   1.6%   1.5%   ∼ 3%  
Studies
Patient Years
Major Hemorrhage
Thromboembolism
Combined
(%/pt yr) (%/pt yr) (%/pt yr)
Usual care studies*  1,537   6.8%   8.1%   ∼ 15%  
Anticoagulation clinic studies**  19,361   4.3%   4.8%   ∼ 9%  
Comparison studies:      
Usual care   944   5.7%   8.4%   ∼ 14%  
vs      
Anticoagulation clinic#  986   1.6%   1.5%   ∼ 3%  
*

Landefeld 1989, 106  Gitter 1995, 116  Beyth 1998. 112 

**

Davis 1977, 128  Fofar 1982, 118  Errichetti 1984, 119  Conte 1986, 145  Petty 1988, 120  Charney 1988, 121  Bussey 1989, 122  Seabrook 1990, 146  Fihn 1993, 97  van der Meer 1993, 108  Cannegieter 1995, 104  Palareti 1996 115 

#

Garabedian 1985, 148  Cortelazzo 1993, 114  Wilt 1995, 149  Chiquette 1998; 150  these represent individual studies that assessed outcomes in both usual care and an anticoagulation clinic. They also represent a greater proportion of more recent studies utilizing the INR and low and high intensity of therapy compared to the anticoagulation clinic studies only.

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