Download or read book S curit de prescription des anti vitamines K en m decine g n rale written by Ali Karababa and published by . This book was released on 2009 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt: Environ 600000 patients sont traités par anti-vitamines K (AVK) en France chaque année. La lutte contre les accidents iatrogènes générés par les AVK, notamment les accidents hémorragiques qui viennent au premier rang, constitue un véritable problème de santé publique en France. Le médecin généraliste se retrouve être la pierre angulaire d'un bon suivi d'un patient sous AVK. Un audit clinique de façon rétrospective sur 5 mois a été entrepris sous forme d'autoévaluation pour décrire l'état des lieux actuel des prescriptions des AVK en médecine générale dans le département de la Loire. 26 médecins généralistes et 205 de leurs patients ont été inclus. Les médecins ont presque tous un dossier médical informatisé bien tenu avec l'adresse du patient, le téléphone, l'étiologie de la prescription des AVK et une dernière INR datant de moins de deux mois. Plus des deux tiers des patients connaissent leur valeur cible d'INR, mais la moitié seulement disposent d'un carnet de suivi et connaissent les risques de complications iatrogènes (signes de surdosages, médicaments contre indiqués et situations à risque) avec un caractère péjoratif de l'âge. La traçabilité de l'INR sur les ordonnances thérapeutiques et biologiques reste le point noir de cette étude avec moins de 15% de réponses positives. Malgré des recommandations répétées de la HAS et des rappels annuels de bon usage des AVK par l'AFSSAPS, la formation médicale continue doit poursuivre dans cette direction jusqu'à l'application rigoureuse par les médecins des référentiels.

Download or read book PRESCRIPTION DES ANTIVITAMINES K EN MEDECINE GENERALE written by EMMANUELLE.. TOINON and published by . This book was released on 1998 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book La prescription des antivitamines K en m decine g n rale et son suivi written by Violaine Hardy and published by . This book was released on 2004 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Bon usage des antivitamies K chez les patients de plus de 75 ans written by Clèment Dufour and published by . This book was released on 2011 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: La prescription des AVK concerne plus de 900 000 patients en France. Bien que d’efficacité démontrée, ils ne sont pas moins responsables de 17 000 hospitalisations et 4 000 décès par an et constituent la première cause médicamenteuse d’hospitalisation. Le mésusage des AVK, en raison de la complexité pratique de leur prescription quotidienne sure et de leurs risques potentiels en serait la cause. Les personnes âgées, fragiles, sont les premières concernées. Il convient donc d’optimiser la prescription des AVK chez ces patients pour obtenir un gain en matière de santé; d' identifier les écarts au bon usage des AVK chez le patient de plus de 75 ans et établir en retour des propositions d’amélioration des pratiques professionnelles et enfin d'identifier des facteurs prédictifs de survenue d’un effet indésirable lié aux AVK. Un référentiel de bon usage des AVK à été réalisé puis traduit en grille d’évaluation. Une enquête des pratiques professionnelles, avec étude rétrospective des dossiers médicaux de 100 patients de plus de 75 ans traités par AVK à ensuite été effectuée pour identifier les facteurs de mésusage des AVK et proposer des plans d’actions correctives. Une analyse statistique univariée et multivariée en régression logistique a permis d’identifier les facteurs prédictifs de survenue d’un effet indésirable. Les facteurs influant sur le bon usage des AVK interviennent à tous les niveaux de la prise en charge. Des mesures clés facilement reproductibles peuvent néanmoins permettre d’en améliorer la prescription et d’en réduire le risque iatrogène. En conclusion, le médecin généraliste peut facilement améliorer sa prescription des AVK, pour réduire leur iatrogénicité et promouvoir leur utilisation, bénéfique en termes de santé.

Download or read book tude observationnelle de la prescription des antivitamines K chez le sujet g de plus de 65 ans hospitalis en m decine interne written by Maryam Nazemi and published by . This book was released on 2008 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Les anti-vitamine K (AVK) ont de nombreuses indications chez le sujet âgé, principalement la prévention des embolies cruoriques d’origine cardiaque et la maladie thrombo-embolique veineuse. Méthode : Nous avons mené une enquête prospective observationnelle d’un an sur la population des patients âgés de plus de 65 ans et hospitalisés dans le service de médecine interne de l'Hôtel Dieu à Paris. L'objectif principal était d'évaluer le nombre de traitements par AVK adaptés aux recommandations des sociétés savantes françaises ; Nous avons également recherché les facteurs limitant leur prescription dans cette population. Résultats : 1040 patients ont été hospitalisés durant cette période, dont 602 âgés de plus de 65 ans. Parmi eux, 131 patients (21%) avaient une indication pour les AVK, leur moyenne d'âge était de 84 ans. La moitié (62/131, 47%) n'étaient pas traités par AVK alors qu'il y avait une indication. Les facteurs de non prescription sont : le grand âge, un antécédent de chute, le MMS anormal dès 25, la consommation d’alcool. Les antécédents hémorragiques ne constituent pas la non prescription complète des AVK. La seule pathologie pour laquelle les recommandations ne sont pas suivies est la fibrillation auriculaire. Conclusion : Près de la moitié des patients de plus de 65 ans de notre étude, qui justifient d’une indication réelle aux AVK, n’en bénéficient pas. La prescription est limitée par des facteurs liés au malade, peu par son mode de vie. Il est souhaitable de réaliser des études prospectives randomisées dans cette population afin d’évaluer précisément le rapport bénéfice/risque des AVK. Ces études devront évaluer la qualité de vie autant que la durée de la survie sans accident thrombo-embolique et /ou hémorragique.

Download or read book Cerebral Small Vessel Disease written by Leonardo Pantoni and published by Cambridge University Press. This book was released on 2014-05 with total page 375 pages. Available in PDF, EPUB and Kindle. Book excerpt: Up-to-date discussion of the etiology, diagnosis, treatment, and prevention of this common cause of stroke and cognitive impairment.

Download or read book Evidence Based Practice of Anesthesiology E Book written by Lee A. Fleisher and published by Elsevier Health Sciences. This book was released on 2022-03-22 with total page 595 pages. Available in PDF, EPUB and Kindle. Book excerpt: Addressing both routine and complex situations with practical decision-making tools, Evidence-Based Practice of Anesthesiology, 4th Edition, helps anesthesiologists make sound decisions in everyday practice. World-renowned authority, Dr. Lee A. Fleisher, takes an evidence-based approach to a variety of high-impact topics related to effective perioperative patient management: preoperative assessment; monitoring and administration of anesthesia during surgery; postoperative intensive care management; and postoperative pain management. The 4th Edition has been updated from cover to cover, helping you make informed clinical decisions based on reliable, up-to-date guidance in every aspect of patient care. - Explores important issues in perioperative management, discussing the available options, examining the relevant research, and presenting practical recommendations. - Features concise, to-the-point chapters with numerous quick-reference tables for fast and effective decision making. - Includes decision trees throughout to provide visual guidance and a logical flow of key decision points. - Contains nine new chapters on how to identify patients at risk for postoperative neurocognitive disorder; the best strategy for perioperative ACE and ARB agents; emergency laparotomy; optimal postoperative analgesia and the opiate naïve patient; the best method for perioperative handoffs; myocardial injury after non-cardiac surgery (MINS); and more. - Helps you master the current best practices you need to know for successful day-to-day practice and oral board review. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Download or read book Acute Stroke Treatment written by Julien Bogousslavsky and published by CRC Press. This book was released on 1997-09-04 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Owing to the increased interest in brain ischemia and the new therapeutic options from pharmaceutical companies for the treatment of acute stroke, Professor Julien Bogousslavsky, one of the world's stroke experts, has revised his best-selling book. It is the emergence of huge possibilities in the management of stroke - ultra-early diagnosis, intensive care, surgical and other interventional therapies, thrombolysis, anti-ischemic drugs and prevention of immediate recurrence - which necessiates this timely update.

Download or read book Acetylsalicylic Acid written by Karsten Schrör and published by John Wiley & Sons. This book was released on 2016-09-26 with total page 474 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by a leading expert on Aspirin-related research, this is the most comprehensive treatise on the pharmacological effects and clinical applications of one of the most successful drugs ever. The text is written with a wide audience in mind, and to be readily understandable for clinicians, pharmacists, biomedical researchers and pharmacologists alike. This second, completely revised edition contains the latest results of clinical and pharmacological research on Acetylsalicylic acid, addressing the multiple pharmacological properties of this famous drug with a balanced view on their translation into clinical practice, including prevention from cardiovascular diseases and colorectal cancer.

Download or read book Oral Anticoagulants written by L. Poller and published by CRC Press. This book was released on 1996-08-02 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Warfarin and related drugs have been used for over half a century in prevention and treatment of thrombotic disorders. Only recently however has their clinical role been firmly established by randomised studies and their benefit/risk ratio improved by lower dose therapy with improvements in laboratory monitoring. 'Oral Anticoagulants' is the first comprehensive, practical survey of the subject available. An international team of recognised experts provide detailed coverage on the mode of action; clinical pharmodynamics; magnitude and sources of variability in individuals response to oral anticoagulant; methods of individualising dosing regimens; laboratory monitoring; and comparison between the different currently prescribed oral anticoagulants.

Download or read book Guidelines for Cardiac Rehabilitation Programs written by AACVPR and published by Human Kinetics. This book was released on 2020-03-04 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: Guidelines for Cardiac Rehabilitation Programs, Sixth Edition With Web Resource, presents the combined expertise of more than 50 leaders in the field of cardiac rehabilitation (CR), reimbursement, and public policy to empower professionals to successfully implement new CR programs or improve existing ones. Developed by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), this guidebook offers procedures for providing patients with low-cost, high-quality programming that moves them toward a lifelong commitment to disease management and secondary prevention. Cardiovascular disease (CVD) is the principal cause of death worldwide. It is projected that by 2035, more than 130 million adults in the United States will have CVD. The challenge to CR professionals is to select, develop, and deliver appropriate rehabilitative and secondary prevention services to each patient tailored to their individual needs. Guidelines for Cardiac Rehabilitation Programs, Sixth Edition, is the definitive resource for developing inpatient and outpatient cardiac rehabilitation programs. The sixth edition of Guidelines for Cardiac Rehabilitation Programs equips professionals with current scientific and evidence-based models for designing and updating rehabilitation programs. Pedagogical aides such as chapter objectives, bottom line sections, summaries, and sidebars present technical information in an easy-to-follow format. Key features of the sixth edition include the following: A new chapter on physical activity and exercise that helps readers understand how to develop and implement exercise programs to CVD patients A new chapter on cardiac disease populations that offers readers a deeper understanding of CVD populations, including those with heart valve replacement or repair surgery, left ventricular assist devices, heart transplant, dysrhythmias, and/or peripheral artery disease Case studies and discussion questions that challenge readers to consider how concepts from the text apply to real-life scenarios An expanded web resource that includes ready-to-use forms, charts, checklists, and logs that are practical for daily use, as well as additional case studies and review questions Keeping up with change is a professional necessity and keeping up with the science is a professional responsibility. Guidelines for Cardiac Rehabilitation Programs, Sixth Edition, covers the entire scope of practice for CR programs and professionals, providing evidence-based information on promoting positive lifestyle behavior patterns, reducing risk factors for disease progression, and lessening the impact of CVD on quality of life, morbidity, and mortality. Note: The web resource is included with all new print books and some ebooks. For ebook formats that don’t provide access, the web resource is available separately.

Download or read book Cutaneous Side Effects of Drugs written by Konrad Bork and published by W.B. Saunders Company. This book was released on 1988 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Side Effects of Drugs Annual written by J. K. Aronson and published by Elsevier Science & Technology. This book was released on 1999 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hardbound. Based on the results of an extensive literature search, an international team of authors have collected the latest information on adverse drug effects from the world literature. New adverse effects are reported and evaluated and previously reported adverse effects are re-evaluated in the light of the most recent information. The book provides the reader with a critical and up-to-date overview of the most recent developments in the field. Selected adverse effects are discussed in the special reviews. Two separate indexes enhance the book and allow the author to enter the text by drug name or by adverse effect. The Annual can be used independently or as a supplement to the standard Encyclopedic work in this field, Meyler's Side effects of Drugs, of which, thehttp: //www.elsevier.nl/locate/isbn/0444500936 Fourteenth Edition was published in December 2000

Download or read book The Globalization of Managerial Innovation in Health Care written by John Kimberly and published by Cambridge University Press. This book was released on 2008-12-18 with total page 395 pages. Available in PDF, EPUB and Kindle. Book excerpt: An examination of patient classification systems in fifteen different countries throughout the world.

Download or read book Oral Anticoagulation Therapy written by Kathryn Kiser and published by Springer. This book was released on 2017-05-31 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: Given the amount and complexity of information surrounding the the target specific oral anticoagulants a lengthy didactic educational format has the potential to be overwhelming to the reader and difficult to translate and apply to direct patient care. The proposed book will educate clinicians utilizing a series of clinical cases to simultaneously develop the readers’ knowledge base, problem-solving skills, and practically apply their new knowledge to a variety of clinical situations. These will be short focused case presentations that provide critical information and pose questions to the reader at key points in the decision making process. The cases will be relevant to what clinicians will encounter not only on a daily basis, but also reflective of scenarios that clinicians will not encounter regularly, but that they will have to act upon (e.g. a bleeding patient, patient scheduled for elective or emergent procedure, patient with changing renal function, patient on drugs that have a plausible yet unstudied drug interaction with a target specific oral anticoagulant etc). Included in the case studies will be evidence-based discussions (with appropriate references) that provide immediate feedback on the different treatment alternatives that were offered. The case studies will be designed to instruct the reader how to select and effectively utilize the most appropriate agent for a given clinical scenario. They will focus on key features of the target specific oral anticoagulants, what they have in common, how they are unique from each other, as well as illustrating the clinical decision process one should take when selecting an agent or managing a patient already receiving one of the target specific oral agents. ​

Download or read book Encyclopaedia of Food Science Food Technology and Nutrition written by R. Macrae and published by . This book was released on 1993 with total page 736 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Hospital Based Health Technology Assessment written by Laura Sampietro-Colom and published by Springer. This book was released on 2017-01-23 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: A timely work describing how localized hospital-based health technology assessment (HB-HTA) complements general, ‘arms-length’ HTA agency efforts, and what has been the collective global impact of HB-HTA across the globe. While HB-HTA has gained significant momentum over the past few years, expertise in the field, and information on the operation and organization of HB-HTA, has been scattered. This book serves to bring this information together to inform those who are currently working in the field of HTA at the hospital, regional, national or global level. In addition, this book is intended for decision-makers and policy-makers with a stake in determining the uptake and decommissioning of new and established technologies in the hospital setting. HTA has traditionally been performed at the National/Regional level by HTA Agencies, typically linked to governments. Yet hospitals are the main entry door for most health technologies (HTs). Hospital decision-makers must undertake multiple high stakes investment and disinvestment decisions annually for innovative HTs, usually without adequate information. Despite the existence of arms-length HTA Agencies, inadequate information is available to hospital decision-makers either because relevant HTA reports are not yet released at the time of entry of new technologies to the field, or because even when the report exists, the information contained is insufficient to clarify the contextualized informational needs of hospital decision makers. Therefore, there has recently been a rising trend toward hospital-based HTA units and programs. These units/programs complement the work of National/Regional HTA Agencies by providing the key and relevant evidence needed by hospital decision makers in their specific hospital context, and within required decision-making timelines. The emergence of HB-HTA is creating a comprehensive HTA ecosystem across health care levels, which creates better bridges for knowledge translation through relevance and timeliness.