Key result
Use of Brazil's Family Health Program after a first stroke was associated with a lower rate of all-cause death compared to non-FHP care (37.9% vs 54.3%; HR 0.58; P=0.005), but not stroke or MI.
Why the study?
Does the Brazilian Family Health Program reduce recurrent stroke, myocardial infarction, and death in patients discharged after a first ever stroke compared to non-FHP care?
Population
241 outpatients discharged from city public hospitals after a first ever stroke
Comparison
Brazil's government-run Family Health Program vs Non-FHP models of care
Design
Cohort
Follow-up
6 years (2005 to 2010)
Authors
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May support expanded post-stroke primary care access; leaves open causal confirmation in randomized trials.
Cohort (n=241)
Yes
Does the Brazilian Family Health Program reduce recurrent stroke, myocardial infarction, and death in patients discharged after a first ever stroke compared to non-FHP care?
Relative Risk: 0.85 (95% CI 0.61–1.18)
Absolute Event Rate: 30.1% vs 36.2%
p-value: p=0.39
The Brazilian Family Health Program significantly reduces all-cause mortality in patients following a first stroke compared to non-FHP care models.
Cabral et al. (2012) conducted a cohort in First ever stroke (n=241). Family Health Program (FHP) vs. Non-FHP models of care was evaluated on Stroke or myocardial infarction (RR 0.85, 95% CI 0.61-1.18, p=0.39). Use of Brazil's Family Health Program after a first stroke was associated with a lower rate of all-cause death compared to non-FHP care (37.9% vs 54.3%; HR 0.58; P=0.005), but not stroke or MI.