RESUMO
INTRODUCTION: Treatment of venous thromboembolism (VTE) is classically based on oral vitamin K antagonists (VKAs). Due to the disadvantages and side effects of these drugs, monitoring the quality of anticoagulation by assessing time within therapeutic range (TTR) is recommended. Variables altering the TTR in patients with VTE are yet to be determined. The aim of this study was to analyze the quality of anticoagulation in patients with VTE treated with VKAs and to identify factors associated with poor-quality anticoagulation. METHODS: A retrospective observational study was performed in a cohort of 94 patients diagnosed with VTE undergoing treatment with VKAs. The TTR at 6 months was analyzed by the Rosendaal method. Univariate and a multivariate logistic regression analyses were performed to unravel factors that increase risk of poor-quality anticoagulation. RESULTS: The TTR at 6 months in this cohort was 60.5%; 54 patients had a TTR < 65%. In the univariate analysis, female sex, age ≥ 65 years, and renal impairment were significantly associated with poor-quality anticoagulation. However, in the multivariate logistic regression model, only renal impairment was independently associated with poor-quality anticoagulation (odds ratio = 3.31, 95% confidence interval [1.049, 10.486], p = .041). DISCUSSION: The average quality of anticoagulation was 60.5%, and a high percentage of patients had a quality of anticoagulation below recommended levels. Study findings indicate that renal impairment is an independent risk factor for poor-quality anticoagulation in patients with VTE treated with VKAs.
Assuntos
Anticoagulantes/uso terapêutico , Tromboembolia Venosa/tratamento farmacológico , Vitamina K/antagonistas & inibidores , Vitamina K/uso terapêutico , Administração Oral , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Feminino , Seguimentos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Medição de Risco , Fatores de Risco , Resultado do TratamentoRESUMO
La actitud que el consumidor muestra frente a los alimentos genéticamente modificados (AGM) viene condicionada por el grado de conocimiento sobre ellos y la información recibida. El objetivo de este estudio es conocer el tipo de información que tiene el consumidor sobre los AGM y saber si dicha información es suficiente a la hora de optar por consumirlos o no. La metodología utilizada ha sido cuantitativa, mediante análisis descriptivos y bivariables de los datos. Los resultados obtenidos muestran que los medios de comunicación son la principal fuente de información, pero estos solo exhiben una visión sesgada sobre este tipo de alimentos. Urge implicar a todos los agentes a dar información veraz y completa, abordando todos los puntos de vista sobre el tema, con el fin de ayudar al consumidor a decidir libremente sobre su consumo.
Consumer attitudes towards genetically modified food (GMF) are conditioned by the degree of knowledge about them and the information received. The aim of this study is to know the type of information consumers have about GMF and to know whether such information is enough at the time of choosing to consume it or not. The methodology used has been quantitative by descriptive analysis and comparing variables within data. Results obtained show that media is the main source of information, but it only shows a biased view about this type of food. It is urgent to imply all stakeholders to give truthful and complete information, considering all points of view about the topic, with the aim to help the consumer to decide freely about consuming it.
A atitude que o consumidor demonstra frente aos alimentos geneticamente modificados (AGM) vem condicionada pelo grau de conhecimento sobre eles e a informação recebida. O objetivo deste estudo é conhecer o tipo de informação que tem o consumidor sobre os AGM e saber se a dita informação é suficiente na hora de optar por consumi-los ou não. A metodologia utilizada foi quantitativa, mediante análises descritivas e bivariáveis dos dados. Os resultados obtidos mostram que os meios de comunicação são a principal fonte de informação, poém estes só exibem uma visão parcial sobre este tipo de alimentos. Urge implicar todos os agentes a dar informação veraz e completa, abordando todos os pontos de vista sobre o tema, com a finalidade de ajudar o consumidor a decidir livremente sobre seu consumo.
