Groupe Exercice Réadaptation Sport/SFC Conduire des programmes d'éducation thérapeutique cardio-vasculaire

Groupe Exercice Réadaptation Sport/SFC
Conduire des programmes
d'éducation thérapeutique cardio-vasculaire
Chez le patient sous anti-thrombotiques
Vendredi 18 janvier 2013
G. Bosser (Vandoeuvre les Nancy, FRANCE)

Conflict of interest
None

ETP – patient education – antithrombotics
•Aims
•Security
•incidence of major bleeding is 0.5% per year
•incidence of intracranial bleeding is 0.2% per year
•Epidemiology and management of bleeding in patients using vitamin K antagonists. Levi M. J
Thromb Haemost. 2009;7(Suppl 1):103-6
•Efficiency
•Different drugs
•VKA
•NOACs
•Anti-platelets
•Populations
•AF
•Valves
•Thrombo-embolic diseases
•Others…
•Specific populations
•Children
•Elderly

Recent evolutions
•Patient Education Programs
•Loi HPST
•Textes de 2010 régissant l’ETP
•New anti-coagulants
•Role of pharmacists

Patient Education
•Security
•Deaths
•Hemorrhagic events
•Efficiency
•Time in therapeutic range
•Knowledge, patients satisfaction
•Knowledge
•Meta-analyses:
•Meta-analysis: effect of patient self-testing and self-
management of long-term anticoagulation on major clinical
outcomes. Bloomfield HE et al. Ann Intern Med.
2011;154(7):472-82
•Self-monitoring of oral anticoagulation: systematic review and
meta-analysis of individual patient data. Heneghan C et al.
Lancet. 2012;379(9813):322-34