Key result
Mass lifestyle modification and organized multidisciplinary acute care with early secondary prevention are the most cost-effective strategies for reducing the public health burden of stroke.
Population
General population and patients with transient ischemic attack and ischemic stroke
Design
Review
Authors
Discussion
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Member takes
Implication
Supports prioritizing population-wide lifestyle changes and stroke units for cost-effective stroke reduction; leaves open prospective validation across healthcare systems.
Structured PICO
P
Population
General population and patients with transient ischemic attack and ischemic stroke
I
Intervention
Stroke prevention strategies including lifestyle modification, organized multidisciplinary acute care in a stroke unit, and early secondary prevention (aspirin, blood pressure control, smoking cessation, oral anticoagulants, carotid endarterectomy)
Effective stroke management relies heavily on population-wide lifestyle modifications for primary prevention and organized stroke units with targeted medical therapy for secondary prevention.
Limitations
- Current methods of measuring and monitoring the impact of stroke strategies on incidence, outcome, and cost are unreliable.
Cite This Study
Graeme J. Hankey (1999) conducted a review in Stroke. Stroke prevention and management strategies was evaluated. Mass lifestyle modification and organized multidisciplinary acute care with early secondary prevention are the most cost-effective strategies for reducing the public health burden of stroke.