KIDCLOT©: The importance of validated educational intervention for optimal long term warfarin management in children

Bauman, Mary E.; Black, Karina L.; Kuhle, Stefan; Wang, Li; Legge, L.; Callen-Wicks, D.; Mitchell, Lesley; Bajzar, Laszlo; Massicotte, M. Patricia

doi:10.1016/j.thromres.2008.07.012

Cited by 45 publications

(50 citation statements)

References 16 publications

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“…152 Adequate patient and family education protocols have been reported to be a major factor in reducing adverse bleeding events in children on warfarin therapy. 153,154 Nonhemorrhagic complications of VKAs, such as tracheal calcifi cation or hair loss, have been described on rare occasions in young children. 155,156 Two cohort studies described reduced bone density in children receiving warfarin for .…”

Section: Adverse Effects Of Vkasmentioning

confidence: 99%

Antithrombotic Therapy in Neonates and Children

Monagle

Chan

Goldenberg

et al. 2012

Chest

1,269

559

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Section: Adverse Effects Of Vkasmentioning

confidence: 99%

Antithrombotic Therapy in Neonates and Children

Monagle

Chan

Goldenberg

et al. 2012

Chest

1,269

559

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“…However, with standardized education programs on warfarin therapy, the time in therapeutic range can be improved. 80,81 …”

Section: General Principlesmentioning

confidence: 99%

Prevention and Treatment of Thrombosis in Pediatric and Congenital Heart Disease

Giglia¹,

Massicotte²,

Tweddell³

et al. 2013

Circulation

298

245

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“…Anticoagulation education strategies specifically for children and parents were identified in seven papers in the literature, two of which detailed validation of an education program 7–9 11 13–15. Despite this recent trend for structured education for paediatric patients requiring AT, no papers identified described AT education specifically tailored for adolescents.…”

Section: Resultsmentioning

confidence: 99%

“…Anticoagulant management in children is affected by many factors, such as co-morbidities, increased metabolic demands, growth, diet and interactions with other medications 1 7–9. Structured education is a recognised strategy aiming to improve AT control, stability and compliance by encouraging improved patient understanding of AT, its complex interactions and dosing requirements 9–11.…”

Section: Introductionmentioning

confidence: 99%

“…With an increase in the number of children requiring long-term AT and the availability of home management strategies, patient and family education practices have been developed 7–9 13–15. Yet, little attention to date has focused on adolescents requiring AT, except for some data indicating that next to infants below 1 year of age, adolescents are the most challenging population to manage safely in terms of stability of therapy 1 3…”

Section: Introductionmentioning

confidence: 99%

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HEEADSSS assessment for adolescents requiring anticoagulation therapy: Table 1

et al. 2011

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The care of adolescents with complex chronic illness needs to be developmentally appropriate to encourage adherence, knowledge retention and self-management. There has been an increase in the number of adolescents requiring long-term or lifelong anticoagulation therapy, related to either an underlying illness or idiopathic deep vein thrombosis. The burden of anticoagulant therapy, the associated risks and the required lifestyle changes can significantly impact on psychosocial well-being in the adolescent patient. This review identifies issues pertinent to adolescent anticoagulation management and discusses strategies to support optimal management. The HEEADSSS (Home, Education and employment, Eating, Activities with peers, Drugs, Sexual activity, Suicide and depression, and Safety) framework was used to provide guidance in undertaking a psychosocial assessment of adolescents requiring anticoagulant therapy in conjunction with a structured education strategy. Adolescent anticoagulant management strategies employing developmentally appropriate assessment and education will likely result in improved therapeutic outcomes for the patient and potentially facilitate transition to adult-based care.

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KIDCLOT©: The importance of validated educational intervention for optimal long term warfarin management in children

Cited by 45 publications

References 16 publications

Antithrombotic Therapy in Neonates and Children

Antithrombotic Therapy in Neonates and Children

Prevention and Treatment of Thrombosis in Pediatric and Congenital Heart Disease

HEEADSSS assessment for adolescents requiring anticoagulation therapy: Table 1

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