Provide patients who are having anticoagulation treatment with an ‘anticoagulant information booklet’ and an ‘anticoagulant alert card’ and advise them to carry the ‘anticoagulant alert card’ at all times.

Relative values of different outcomesMajor bleeding and the associated mortality and morbidity were considered the most important outcomes, as well as improving quality of life for patients by providing security and reassurance in case of an accident/emergency.
Trade off between clinical benefits and harmsPatients who are taking anticoagulants are at an increased risk of bleeding. In the event of major trauma or where there is difficulty in verbal communication, carrying an anticoagulant alert card can help to ensure that appropriate care is provided. Some patients may consider it inconvenient, but this is greatly outweighed by the benefits of carrying the card.
Economic considerationsNo economic evidence was found on this question. This recommendation is not expected to be associated with increased costs.
Quality of evidenceNon-applicable
Other considerationsThe GDG considered this to be an example of good medical practice.

To improve the adherence of carrying the card it is important to explain the rationale and the benefit of carrying the card to patients.
Recommendations are based on GDG consensus.

From: 11, Patient information

Cover of Venous Thromboembolic Diseases
Venous Thromboembolic Diseases: The Management of Venous Thromboembolic Diseases and the Role of Thrombophilia Testing [Internet].
NICE Clinical Guidelines, No. 144.
National Clinical Guideline Centre (UK).
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