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Master Thesis

Impact de l’envoi des recommandations de l’HAS de 2008 sur la pratique des médecins généralistes parisiens lors de surdosages asymptomatiques en AVK

Abstract : Physicians are required to submit to a CME. Recommendations for good practice are established to complement it. Thereby, a document for general practitioners on the management of oral anticoagulant overdose was published by the HAS in 2008. The general practitioner should be able to support asymptomatic overdoses and prevent bleeding episodes. This interventional study, randomized, with Parisian GPs (n=300) using a telephone questionnaire assesses the impact of sending HAS recommendations of 2008 on the management of asymptomatic oral anticoagulant overdoses at 3 and 7 months of sending versus a control group. 72 physicians were included. Impact was observed for an INR between 6 and 10 and above 10, a tendency towards a better adherence was observed; other issues are not impacted; 57% (n=28) did not read the document sent. 20% (n=5) of physicians in the control group are not adherent and on average less than 50% have a correct attitude for more than 10 INR (58% n=14); 67% (n=16) correctly INR control after treatment of overdose; 83% did not require outside assistance appropriately. There is no difference between groups 3 and 7 months. Their CME is mainly classroom training and subscriptions to periodicals followed by electronic formations. This trend continues for optimal CME. Sending recommendations improve care at INR greater than 6, the highest risk of hemorrhagic stroke.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01134799
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Submitted on : Tuesday, March 24, 2015 - 11:58:27 AM
Last modification on : Friday, March 27, 2020 - 2:36:40 AM
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  • HAL Id : dumas-01134799, version 1

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Carolina Garcia Pichaud. Impact de l’envoi des recommandations de l’HAS de 2008 sur la pratique des médecins généralistes parisiens lors de surdosages asymptomatiques en AVK. Médecine humaine et pathologie. 2014. ⟨dumas-01134799⟩

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