Online ISSN: 2515-8260

Author : Ahmed, Islam Galal Sayed

Evaluation of time in therapeutic range in patients receiving warfarin therapy in Zagazig University Hospital

Mohammad Hossam Eldeen Al-shaer; Mohammad Gouda Mohammad; Islam Galal Sayed Ahmed; Ahmed Mohammed Badawy Ibrahim

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 2, Pages 2593-2602

Objectives: To assess the quality of INR control in Egyptian patients who are on warfarin
therapy through calculating the TTR and study different variables affecting INR control in
those patients. Methods: A Retrospective cohort study conducted in Cardiology Department,
Zagazig University Hospitals, from December 2018 to August 2019. It included 250 patients
who were prescribed Warfarin therapy for different indications. Results: After calculating
TTR of each patient the level of anticoagulation control was determined using the
following cut off values: a) Good control: TTR>70%, b) Intermediate control: TTR 50 -70
%, c) Poor control: TTR <50%. Majority of patients 62% had poor control with TTR less
than 50% and 17.20% had Intermediate control with TTR 50-70%. Patients with good TTR
control represented 20.8%. Conclusion: Majority of Egyptian patients have poor
anticoagulation control by means of TTR. Male gender, higher education and employment
status are associated with higher mean TTR and better anticoagulation control. Male
gender and employment were significant predictors for good INR control.