Key result
Among patients with confirmed TIA or stroke referred to a stroke prevention clinic, 36.0% of those with known hypertension and 78.9% of those with known hyperlipidemia had uncontrolled risk factors.
Why the study?
Does assessment at a stroke prevention clinic identify undiagnosed or uncontrolled modifiable risk factors for stroke compared to pre-referral management?
Cross-Sectional (n=2,011)
No
Does assessment at a stroke prevention clinic identify undiagnosed or uncontrolled modifiable risk factors for stroke compared to pre-referral management?
A significant proportion of patients referred to a stroke prevention clinic have undiagnosed or sub-optimally managed modifiable risk factors such as hypertension, hyperlipidemia, and diabetes, highlighting a gap in secondary prevention in community practice.
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Indicates gaps in community risk factor management post-TIA/stroke; leaves open whether clinic assessment improves control or outcomes.
Mouradian et al. (2005) conducted a cross-sectional in Transient ischemic attack (TIA) or stroke (n=2,011). Pre-referral management of modifiable stroke risk factors was evaluated on Uncontrolled hypertension among patients with a history of hypertension (95% CI 32.5-39.5). Among patients with confirmed TIA or stroke referred to a stroke prevention clinic, 36.0% of those with known hypertension and 78.9% of those with known hyperlipidemia had uncontrolled risk factors.
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