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Patient-centred coagulation management in Austria

  • 4.5 Minutes to read
  • Written by Axonlab
  • General Practice
Prophylactic anticoagulation is indicated in diseases and clinical situations where there is an increased risk of thrombosis, for example with
 
  • Heart valve prostheses (especially mechanical, but biological ones are also possible)
  • Atrial fibrillation
  • Venous thrombosis, especially deep vein thrombosis of the leg
  • Pulmonary embolism
  • Prolonged immobilisation
  • Postoperative
  • Thrombophilia (bleeding tendency) with high risk
 
For people who are dependent on regular monitoring of their blood coagulation, coagulation self-monitoring offers great relief in everyday life. 
 
In Austria, patient self-monitoring is increasingly being promoted, as it not only improves the quality of life of those affected, but also optimises medical care. 
 
In this article, you will learn step by step how to obtain a coagulation analyser as a patient on anticoagulant therapy so that you can carry out self-monitoring at home.
 
 
1. Doctor's prescription
 
Obtain a prescription for the following set:
  • microINR system (for patient self-monitoring, art. no. 10062690)
  • Test chips, box with 25 chips (art. no. 10062415)
 
 
2. Covering of costs by the health insurance company
 
If there is a corresponding indication, most health insurance companies in Austria will cover the costs of the measuring device and the test chips in part or even in full.

The measuring device should be prescribed for the following indications:

  •  Artificial heart valves that require lifelong anticoagulant therapy
  • Chronic atrial fibrillation with a long-standing indication for long-term anticoagulation
  • Condition following surgery for complex heart defects (congenital heart defects), especially in childhood,
    - which require long-term anticoagulation
    - Coagulation factor defects, e.g. factor V Leiden defect,
      protein S-C deficiency
    - Other coagulation deficiencies requiring lifelong anticoagulant therapy

No indication for coagulation self-monitoring is given for clinical pictures that only require only temporary anticoagulant therapy (e.g. condition after pulmonary embolism) or short-term anticoagulation following implantation of a biological aortic valve prosthesis.

The usefulness of using coagulation self-monitoring with a microINR device in the presence of dilated cardiomyopathy must be assessed on a case-by-case basis.

The dispensing of measuring devices and consumables is subject to the presentation of a medical prescription with a corresponding indication. The initial prescription must be issued by a specialist in internal medicine or a corresponding department of a hospital.  Subsequent prescriptions can also be issued by a general practitioner.

Clarify with your doctor or health insurance company whether the costs for the microINR coagulation monitor will be covered. 


Important: enquire about the co-payment for the measuring device! (http://www.sozialversicherung.at)

 

3. Training

Your doctor will familiarise you with the therapy and the interpretation of measurement results. He/she will also instruct you in the correct handling of the measuring device.

Alternatively, you can learn how to use the device online. Your doctor will give you an access code to our online learning platform for this purpose

Once you have successfully completed the training, you will receive a training confirmation. If the costs can be covered by health insurance, this certificate is usually a prerequisite for authorisation. 

At some training centres you will receive a measuring device in advance during the training, at some training centres you have to apply to the health insurance company for a measuring device after the training.

Your doctor will familiarise you with the therapy and the interpretation of measurement results. He/she will also instruct you in the correct use of the measuring device.

Alternatively, you can learn how to use the device online. Your doctor will provide you with an access code to our online learning platform.

 


Introducing the microINR Expert System

Coagulation management close to the patient - precise and safe in 2 minutes

    • Result in less than 2 minutes from just 3μl of whole blood
    • Small, handy and easy to use
    • Direct blood sample collection from the fingertip
    • Precise measurement thanks to a reagent ISI value of 1.0
    • No calibration necessary
    • Quality controls run with every measurement, so it's -> absolute safe
    • Li-ion battery, main adapter
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