Key result
An individualized management program did not significantly change the cardiovascular Framingham Risk Score at 12 months compared to usual care (difference 0.04; 95% CI -1.7 to 1.8).
Why the study?
Does an individualized management programme comprising nurse-led education and specialist review improve the cardiovascular Framingham Risk Score in survivors of stroke or TIA?
RCT (n=563)
Blinded assessment of outcomes
Cluster-randomized
Yes
Does an individualized management programme comprising nurse-led education and specialist review improve the cardiovascular Framingham Risk Score in survivors of stroke or TIA?
Mean Difference: 0.04 (95% CI -1.7–1.8)
A shared team approach involving nurse-led education and specialist review did not significantly improve the Framingham Risk Score at 12 months in stroke/TIA survivors compared to usual care.
Suggests usual care remains sufficient for risk factor control in stroke and TIA survivors; leaves open.
No takes yet. Share an insight, caveat, or question.
Olaiya et al. (2017) conducted an RCT in Stroke or transient ischaemic attack (n=563). Individualized management programme (nurse-led education and specialist review) vs. Usual care was evaluated on Change in cardiovascular Framingham Risk Score between baseline and 12 months (Difference 0.04, 95% CI -1.7 to 1.8). An individualized management program did not significantly change the cardiovascular Framingham Risk Score at 12 months compared to usual care (difference 0.04; 95% CI -1.7 to 1.8).
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