Original ArticleLong-term Adherence to National Guidelines for Secondary Prevention of Ischemic Stroke: A Prospective Cohort Study in a Public Hospital in Chile
Section snippets
Date and Participants
We prospectively included all consecutive patients with a diagnosis of IS (cerebral infarct or transient ischemic attack [TIA]) who were discharged from Valparaíso Regional Hospital, Chile, between July 15, 2007 and January 15, 2008.
Context
Valparaíso Regional Hospital is a tertiary level university medical center located in the third most populated region of Chile, which is primarily urban (92%). This 540-bed hospital is the primary center providing health care services to 466,143 inhabitants and is
Results
During the study period, 156 patients with a diagnosis of IS were discharged from the hospital; 137 (88%) had a cerebral infarction and 19 (12%) had a TIA. This cohort was followed and surveyed at 5, 10, and 15 months. One hundred twenty-eight patients (82%) completed the follow-up (mean ± SD 381 ± 148 days). Of those who did not complete the follow-up, 24 (15%) could not be contacted and 4 (3%) patients refused to answer the telephone survey. Thirty patients (19%) died during the study.
Discussion
In the present study, we found that adherence to guidelines for the secondary prevention of ischemic stroke is lower than it should be and that it varies significantly depending on the prescription. The most notable finding was the significant decrease of adherence to oral anticoagulant therapy in patients with cardioembolic stroke, which was as low as 7% at the end of the follow-up period. This group of patients had the highest mortality and recurrence of cerebrovascular events. Adherence to
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Cited by (5)
Effectiveness of Goal-Setting Telephone Follow-Up on Health Behaviors of Patients with Ischemic Stroke: A Randomized Controlled Trial
2016, Journal of Stroke and Cerebrovascular DiseasesCitation Excerpt :One such intervention is the “Get with the Guidelines-Stroke” program of the American Heart Association/American Stroke Association used to improve the quality of postdischarge care for patients with stroke.25 However, adherence to guidelines for the secondary prevention of ischemic stroke is highly variable.26 Goal setting is a process in which people set targets and work toward achieving them.27
Stroke care and collaborative academic research in Latin America
2022, Salud Publica de MexicoOne year prognosis after suffering the onset of cerebrovascular disease in patients from a public hospital in Lima, Peru
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Dr. Muñoz-Venturelli receives research support from The George Institute. Dr. Sacks has served as member of the editorial advisory board of the Stroke Journal, Spanish Edition since 2009, and has received honoraria from Ferrer Group. Dr. Lavados serves on the scientific advisory boards for BMS, Pfizer, and Sanofi-Aventis, has received funding for travel from Boehringer Ingelheim, Ferrer Group, and Sanofi-Aventis, and receives research support from The George Institute and Lundbeck.