We continue to see more and more patients diagnosed with conditions that require anticoagulation such as non-valvular atrial fibrillation, new or recurrent venous thromboembolism, mechanical heart valves, and arterial thrombosis. Frequently, these conditions require chronic anticoagulation. In 2018, we have a multitude of options in addition to warfarin and unfractionated heparin for management including the new target-specific oral anticoagulants (TSOACs). These new medications appear to have fewer drug interactions and lower risk for potential side effects such as hemorrhagic stroke and gastrointestinal bleeding.
With so many potential patient care scenarios that require anticoagulation and now many more choices for treatment, where can a provider turn for a good point of care resource? One option for non-valvular atrial fibrillation is the outstanding American College of Cardiology’s Anticoag Evaluator. Another excellent option for non-valvular atrial fibrillation (and some general information on all anticoagulants) is the excellent MAQI2 Anticoagulation Toolkit from the University of Michigan. Now, the CDC has created an app that covers an even wider gamut of medical conditions requiring anticoagulation including VTE, fetal loss, HIT, and arterial thrombosis in addition to atrial fibrillation. The app is called CDC Anticoagulation Manager and will likely become your go-to app for these issues. We continue to be fans of the CDC’s apps. They have released a somewhat related app call CDC PTT Advisor, an easy-to-use Vaccine Schedules app, an excellent STD app, influenza app, GBS app and mobile health app. We have also favorably reviewed their opioid and travel medicine apps.
Developed by the CDC and the George Institute of Technology, CDC Anti-coagulation Manager brings numerous evidence-based guidelines, calculators, and websites together, covering numerous medical conditions that require anti-coagulation. The app includes information on VTE, non-valvular atrial fibrillation, mechanical heart valves, fetal loss, and arterial thrombosis with multiple sub scenarios to include patients with renal insufficiency, pregnancy, etc. The app will likely greatly aid any provider who prescribes anti-coagulation to patients.
Who would benefit from this app?
Nurses, students, pharmacists, residents, mid-levels, primary care providers, emergency medicine, internal medicine and hospitalist providers, or any provider who prescribes/manages patients on anticoagulation.
Disclaimer: The views expressed are those of the author(s) and do not reflect the official policy of the Department of the Army, the Department of Defense or the U.S. Government.
- Simple to use interface that covers a wide number of medical conditions
- Uses evidence-based treatment algorithms derived from reputable sources
- Algorithms cover multiple patient factors including renal insufficiency and pregnancy
- Lacks information on duration of anticoagulation for some conditions
- Not all references have hyperlinks; no built-in calculators
- Not available for Android
CDC Anticoagulation Manager is one of the best apps to come out so far this year. It can easily replace several other anticoagulation apps on your device and covers the widest number of medical conditions and situations for anticoagulation. The only drawbacks are a lack of built in calculators (does contain hyperlinks) and a lack of information on the recommended duration of anticoagulation for some conditions (VTE for example).
- Overall Score
- User Interface
Easy-to-follow interface that is informative and responsive.
- Multimedia Usage
App has multiple algorithms for the most common scenarios for initiating/changing/stopping anticoagulation. The app links to several calculators and references, but none are built into the app.
App is free.
- Real World Applicability
CDC Anticoagulation Manager is the gold standard all-in-one app for initiating/changing/stopping anticoagulation for the widest variety of medical conditions. This app is a must have for anyone who treats patients who require anticoagulation. The app is easy-to-use at the point of care and likely will be used frequently by providers who care for these patients.
- Device Used For Review
iPhone 8 running iOS 11.3.1
- Available for DownloadiPhoneiPad