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Value Analysis in Patients Undergoing Self-Management Training Using a Coagulometer

CompletedNA

Sponsor: Ana Rita Londral, PhD

Conditions: Post-Cardiac Surgery Patients

Interventions: Standard of Care (SOC), Remote Patient Monitoring (RPM)

Countries: Portugal

Prior research has not assessed the value of remote patient monitoring (RPM) systems for patients undergoing anticoagulation therapy after cardiac surgery. This study aims to assess whether the clinical follow-up through RPM yields comparable outcomes with the standard protocol. A crossover trial assigned participants to SOC-RPM or RPM-SOC, starting with the standard of care (SOC) for the first 6 months after surgery and using RPM for the following 6 months, or vice-versa, respectively. During RPM, patients used the Coaguchek© to accurately measure International Normalized Ratio values and a mobile text-based chatbot to report PROs and adjust the therapeutic dosage. The study assessed patients' and clinicians' experience with RPM and compared direct costs.

Eligibility overview

Sex: ALL

Age: 18 Years to —

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* equal or more than 18 years old and with a smartphone

Exclusion Criteria:

* analphabetism, poor health, low digital literacy level and inability to use the RPM alone or with caregiver support

Locations (1)

Lisbon, Portugal