Evidence map›Paper›PMID 39295959›Full record

ArticleJournal of multidisciplinary healthcare2024

Warfarin Adherence and Its Associated Factors in Thai Older Adults with Atrial Fibrillation.

Autchariya Poungkaew, Thitipong Tankumpuan, Chontira Riangkam, Junporn Kongwatcharapong, Tassanee Daekunthod, Khachol Sriyayang, Rungroj Krittayaphong, Binu Koirala

Abstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Factors Affecting the Time in Therapeutic Range of Warfarin Anticoagulation Therapy in Patients with Atrial Fibrillation.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Autchariya PoungkaewDepartment of Medical Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand.ORCID 0000-0002-2855-3702
Thitipong TankumpuanDepartment of Surgical Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand.
Chontira RiangkamDepartment of Medical Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand.ORCID 0000-0001-6089-0656
Junporn KongwatcharapongDepartment of Pharmacy, Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0002-8979-1018
Tassanee DaekunthodSakonnakorn Hospital, Sakonnakorn, Thailand.
Khachol SriyayangSakonnakorn Hospital, Sakonnakorn, Thailand.
Rungroj KrittayaphongDivision of Cardiology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Binu KoiralaJohns Hopkins University School of Nursing, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Older people mostly found unable to adhere with warfarin treatment guidelines. The health service system is challenged in order to improve medication adherence in older population under limited health resources. The purpose of this study was to explore health systems factors on warfarin adherence in older population, particularly in resources constraint setting. Methods: This study was a cross-sectional predictive study that enrolled older people who experienced atrial fibrillation (AF) and treated by warfarin, aged 60 years and over, and followed up at the warfarin clinic. Results: A total of 197 participants with the mean age of 72.03 years (SD = 8.84) was recruited. Almost of them (85.8%) reported adhered to warfarin prescription. More than a half (60.5%) were able to report their targeted INR. Participants who stayed with the family had 5.54 times (95% CI 1.79-19.33), took regular daily dose warfarin had 5.07 times (95% CI 1.05-24.49), perceived targeted INR had 2.94 times (95% CI 1.04-8.29), and received family support had 1.33 times (95% CI 1.11-1.60) increased odds of warfarin adherence than those who did not. Participants who perceived a barrier to taking medication had 0.93 times decreased odds of warfarin adherence than those who did not (95% CI 0.86-0.99). Conclusion: Healthcare system should encourage family to support the older population with AF in order to increase warfarin adherence. Future research should develop intervention combining family support to promote warfarin adherence.

Indexed as

adherenceatrial fibrillationINRolder populationwarfarin

Identifiers

PMID39295959
PMCPMC11409932

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.