Implementation of secondary stroke prevention protocol for ischaemic stroke patients in primary care
| Autor: | Richard Li, Y K Choi, Augustine Lam, Kenny Kung, Jiahuai Han |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Primary care Ambulatory Care Facilities Risk Assessment Brain Ischemia Cohort Studies Brain ischemia Clinical Protocols Reference Values Internal medicine Ischaemic stroke Secondary Prevention medicine Humans Prospective Studies Medical prescription Stroke Aged Patient Care Team Primary Health Care business.industry Health Plan Implementation General Medicine Middle Aged medicine.disease Survival Rate Treatment Outcome Blood pressure Stroke prevention Physical therapy Hong Kong Female business Follow-Up Studies Cohort study |
| Zdroj: | Hong Kong Medical Journal. |
| ISSN: | 1024-2708 |
| Popis: | OBJECTIVE To investigate the effectiveness of a secondary stroke prevention protocol in the general out-patient clinic. DESIGN Cohort study with pre- and post-intervention comparisons. SETTING Two general out-patient clinics in Hong Kong. PATIENTS Ischaemic stroke patients who had long-term follow-up in two clinics were recruited. The patients of one clinic received the intervention (intervention group) and the patients of the second clinic did not receive the intervention (control group). The recruitment period lasted for 6 months from 1 September 2008 to 28 February 2009. The pre-intervention phase data collection started within this 6-month period. The protocol implementation started at the intervention clinic on 1 April 2009. The post-intervention phase data collection started 9 months after the protocol implementation, and ran for 6 months from 1 January 2010 to 30 June 2010. MAIN OUTCOME MEASURES Clinical data before and after the intervention, including blood pressure, glycated haemoglobin level, low-density lipoprotein level and prescription pattern, were compared between the two groups to see whether there was enhancement of secondary stroke management. RESULTS A total of 328 patients were recruited into the intervention group and 249 into the control group; data of 256 and 210 patients from these groups were analysed, respectively. After intervention, there were significant reductions in mean (± standard deviation) systolic blood pressure (135.2 ± 17.5 mm Hg to 127.7 ± 12.2 mm Hg), glycated haemoglobin level (7.2 ± 1.0% to 6.5 ± 0.8%), and low-density lipoprotein level (3.4 ± 0.8 mmol/L to 2.8 ± 1.3 mmol/L) in the intervention group (all P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|