Travel habits and complications in patients treated with vitamin K antagonists: A cross sectional analysis
Ringwald J, Lehmann M, Niemeyer N, Seifert I, Daubmann A, Wegscheider K, Salzwedel A, Luxembourg B, Eckstein R, Voeller H (2014)
Publication Type: Journal article
Publication year: 2014
Journal
Publisher: Elsevier BV
Book Volume: 12
Pages Range: 258-63
Journal Issue: 3
DOI: 10.1016/j.tmaid.2014.02.006
Abstract
Travel-related conditions have impact on the quality of oral anticoagulation therapy (OAT) with vitamin K-antagonists. No predictors for travel activity and for travel-associated haemorrhage or thromboembolic complications of patients on OAT are known.A standardised questionnaire was sent to 2500 patients on long-term OAT in Austria, Switzerland and Germany. 997 questionnaires were received (responder rate 39.9%). Ordinal or logistic regression models with travel activity before and after onset of OAT or travel-associated haemorrhages and thromboembolic complications as outcome measures were applied.43.4% changed travel habits since onset of OAT with 24.9% and 18.5% reporting decreased or increased travel activity, respectively. Long-distance worldwide before OAT or having suffered from thromboembolic complications was associated with reduced travel activity. Increased travel activity was associated with more intensive travel experience, increased duration of OAT, higher education, or performing patient self-management (PSM). Travel-associated haemorrhages or thromboembolic complications were reported by 6.5% and 0.9% of the patients, respectively. Former thromboembolic complications, former bleedings and PSM were significant predictors of travel-associated complications.OAT also increases travel intensity. Specific medical advice prior travelling to prevent complications should be given especially to patients with former bleedings or thromboembolic complications and to those performing PSM.
Authors with CRIS profile
Nicole Niemeyer
Medizinische Fakultät
Reinhold Eckstein
Department of Transfusion Medicine and Haemostaseology
Involved external institutions
Klinikum Fürth
Germany (DE)
Universitätsklinikum Hamburg-Eppendorf (UKE)
Germany (DE)
Universität Potsdam
Germany (DE)
Universitätsklinikum Frankfurt am Main (KGU)
Germany (DE)
Germany (DE)
Universitätsklinikum Hamburg-Eppendorf (UKE)
Germany (DE)
Universität Potsdam
Germany (DE)
Universitätsklinikum Frankfurt am Main (KGU)
Germany (DE)
How to cite
APA:
Ringwald, J., Lehmann, M., Niemeyer, N., Seifert, I., Daubmann, A., Wegscheider, K.,... Voeller, H. (2014). Travel habits and complications in patients treated with vitamin K antagonists: A cross sectional analysis. Travel Medicine and Infectious Disease, 12(3), 258-63. https://doi.org/10.1016/j.tmaid.2014.02.006
MLA:
Ringwald, Juergen, et al. "Travel habits and complications in patients treated with vitamin K antagonists: A cross sectional analysis." Travel Medicine and Infectious Disease 12.3 (2014): 258-63.
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