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The system eliminates the disadvantages of venipuncture, faster access to information, encourages close the deal and saves resources

Hematology Service, University Hospital Santa María del Rosell, led by Dr. Ibáñez, and the team of Primary Cartagena have successfully completed the implementation of Oral Anticoagulant Therapy (OAT) by capillary puncture system, replacing traditional venipuncture.

It has therefore been instrumental collaboration between specialty care and primary school professionals.

The doctor responsible for the Haemostasis Section Universitario del Rosell Hospital and coordinator of the project in Cartagena, Teodoro Iturbe, noted that the "high percentage of patients with cardiac arrhythmias, and to a lesser extent, in those suffering from thrombosis and patients with heart valve prostheses had to be checked periodically, if treatment is still effective in preventing the emergence of new episodes of thrombosis that can seriously determine your quality of life and could lead to new admissions, which in turn derive subsequent health care costs. "

The process, which is pioneering the Santa Maria del Rosell Hospital in the Region, was launched in early 2009 in Health Centers in Area II in Cartagena, in which more than 3,200 patients need this treatment.

Iturbe said that "the implementation of TAO Capillary required a lengthy and complex process" which consisted, according to the doctor, in a series of ongoing meetings between primary care and hematology service Rosell, care team visits specialized health centers, and nursing education in both areas, both in the hospital and the respective health centers. "

For a year, from February 2009 until November 2009, and in three phases, has endowed the 16 health area II of the training, methodology and equipment for the realization of periodic analytical anticoagulated patients requiring , based on this technique, which Dr. Iturbe described as "highly satisfactory for users."

Advantages of Capillary TAO patient follow-up

The mechanics and operation of these devices, which have already been tested in all health centers Cartagena, allowing capillary blood from the patient's home through a small incision in the fingertip and automatically obtain a result that is measured by a portable coagulometer that can be sent via 'online' at the hospital where the doctor performs the TAO dosing according to the result.

With this procedure, said Dr. Teodoro Iturbe, is solved, "first, the practical difficulties that sometimes involves the removal of blood to the venous access for poor patients" and on the other, "avoids the transport of these tests, the ongoing manipulation for evaluation, and reception is faster because you can send via computer and the immediate results of samples from the most remote office to the doctor's specialty care. "

The anticoagulated patient is usually a high average age and clinical profile in highlighting many other associated diseases that require numerous medications.

It is, therefore, regular users of the health services they need often be subjected to other chemical surgical or invasive procedures.

From this capillary puncture technique TAO, the same nurse at the health center that serves the patient as usual for other pathologies is actively involved in obtaining the sample, resulting in a better and comprehensive knowledge of patient history.

For Dr. Teodoro Iturbe, "is very important in dealing proximity to the patient, because the same nurses who cared for at the health center for other conditions, you can control your TAO."

Source: CARM