Long-Term Stroke Prognosis in Relation to Medical Prevention and Lifestyle Factors
| Autor: | Bo Hedblad, Gunnar Engström, Cairu Li, Lars Janzon |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Gerontology
Blood pressure control Secondary prevention medicine.medical_specialty business.industry medicine.disease Population based study Lifestyle factors Neurology Intervention (counseling) Physical therapy Medicine Neurology (clinical) Stroke survivor Cardiology and Cardiovascular Medicine business Stroke |
| Zdroj: | Cerebrovascular Diseases. 25:526-532 |
| ISSN: | 1421-9786 1015-9770 |
| Popis: | Background: Few studies have focused on the quality of secondary prevention among long-term stroke survivors. This study explores the intensity of medical intervention and the impact of lifestyle and other risk factors on the long-term stroke prognosis in a population-based setting of Swedish individuals with a history of stroke. Methods: A population-based cohort (n = 28,449) in Malmö, Sweden, was recruited during 1991–1996. Of them, 394 had a history of stroke, according to self-reported physician diagnosis and record linkage with the Stroke Register in Malmö. Information on medical intervention and lifestyle factors was collected from the questionnaire. The incidence of a cardiac event (CE) or recurrent stroke was followed for 7.5 years after the baseline examination. Results: The prevalence of hypertension was 79.4% in patients with a history of stroke. Only half of them received blood-pressure (BP)-lowering medication, and 11.5% of them achieved a BP Conclusions: There was a large gap between recommended secondary preventive measures and their implementation in subjects with a history of stroke. Achieving recommended hypertension control may prevent a substantial proportion of the CE and recurrent strokes in this group. |
| Databáze: | OpenAIRE |
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