Navigation Links
Second Stroke Prevention Efforts Found Wanting
Date:3/5/2009

Many patients not getting services they need to prevent another attack, researchers say,,,,

THURSDAY, March 5 (HealthDay News) -- After suffering a stroke, the chances of having another are high, but a new report shows many patients aren't getting the interventions they need to reduce that risk.

Those interventions include lifestyle changes, such as smoking cessation and exercise, and medical treatments, such as aspirin, blood pressure medications and cholesterol-lowering drugs.

"The overall use of many services was suboptimal, predominantly in the 60 to 80 percent range, where ideal would be that 100 percent received each item of care we examined," said lead researcher Dr. Joseph S. Ross, a professor of geriatrics and adult development at Mount Sinai School of Medicine in New York City. "However, when we examined whether there were age, sex or racial disparities in care, we found none."

"We need to do a better job of ensuring that adults who have had a stroke receive all appropriate and recommended care in the ambulatory setting in order to prevent subsequent strokes or other problems from developing," he added.

The report was published in the March 5 online edition of Stroke.

For the study, Ross' group collected data on 11,862 men and women who had had a stroke. The researchers evaluated the use of 11 stroke prevention services taking aspirin, exercising, cholesterol reduction, managing high blood pressure, managing diabetes and preventing infectious diseases.

The researchers found that only 31 percent of the patients had rehab services. In addition, 57 percent exercised regularly, 77 percent took aspirin regularly, 66 percent had counseling to quit smoking, 62 percent of those with high blood pressure received dietary counseling, 91 percent of those with high blood pressure were taking antihypertensive medications, 89 percent of those with diabetes reported annual testing for average blood sugar, 52 percent had flu vaccinations and 53 percent received pneumococcal vaccinations.

When Ross' team looked at racial, age or gender disparities in secondary stroke prevention they didn't find any. Some 90 percent of the patients had health insurance and a regular health-care provider.

Moreover, there was no significant difference in care among patients living in the so-called Stroke Belt (Alabama, Arkansas, Georgia, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, or Virginia.).

Also, 13 percent were black, a group traditionally identified as at higher risk for stroke.

"Strategies are needed to improve stroke secondary prevention, such as increasing regular activity/exercise and better dietary and tobacco cessation counseling, and these strategies need to focus on all adults, as there are not segments of the population whose care is far worse than another's," Ross said.

Dr. Larry B. Goldstein, director of the Duke Stroke Center at Duke University Medical Center, said that because the study relied on patients' own reports, it may not accurately represent the actual care they received.

"It needs to be understood that patient-reported care may or may not reflect actual care," Goldstein said.

"For example, patients who smoke might not be willing to admit that they were told to quit. They may not realize or remember what tests they may have received. Medicines other than aspirin may be used for secondary stroke prevention that apparently were not included in the survey. Not all stroke patients require outpatient rehabilitation," he said.

More information

For more about stroke, visit the U.S. National Library of Medicine.



SOURCES: Joseph S. Ross, M.D., M.H.S., professor, geriatrics and adult development, Mount Sinai School of Medicine, New York City; Larry B. Goldstein, M.D., professor, neurology, and director, Duke Stroke Center, Duke University Medical Center, Durham, N.C.; March 5, 2009, Stroke, online


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Austin, Texas, Physicians Second in Nation to Perform New Procedure for Difficult-to-Treat Atrial Fibrillation Cases
2. Preventing a second stroke is focus of study at Rush University Medical Center
3. Ecolab to Support Second Harvest Heartland Hunger Relief Efforts
4. Cantel Medical Corp. to Hold Conference Call to Discuss Results for Its Second Quarter Ended January 31, 2009
5. Daniel J. Berry, MD, Named Academy Second Vice President
6. Unilens Vision Reports Record Second Quarter Revenue, and Royalty Income
7. AGA Medical Corporation Launches Second Web-Based Stroke Education and Awareness Video Featuring Professional Football Player Tedy Bruschi
8. Teva Releases Second Video in Year of Affordable Healthcare Campaign
9. Escalon(R) Reports Second Quarter Fiscal 2009 Results
10. Tianyin Pharmaceutical Co., Inc. Announces Record Second Quarter 2009 Financial Results
11. Forterus Healthcare Continues Its Southern California Expansion, Completing Its Second Acquisition in Six Months
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Second Stroke Prevention Efforts Found Wanting
(Date:5/2/2016)... ... May 02, 2016 , ... ... announced a new Specialty Pharmacy Patient Satisfaction Award that will recognize specialty pharmacies ... quarterly results from Zitter Health Insights’ Specialty Pharmacy Patient Satisfaction Survey compiled throughout ...
(Date:5/2/2016)... ... May 02, 2016 , ... Visceral fat, also known as ... kidneys, liver and pancreas. If not properly addressed, visceral fat can lead to ... Medicine, Medical Oncology and Palliative Care, warns against the dangers of visceral fat. ...
(Date:5/2/2016)... (PRWEB) , ... May 02, ... ... researchers report that many commonly used prescription medications, including anxiolytics, painkillers, antidepressants ... mitigate these risks, Novus Medical Detox Center —a leading Florida-based drug ...
(Date:5/2/2016)... , ... May 02, 2016 , ... Pregnancy Awareness Month ... trying to conceive. , “If you are ready to have a baby, ... “My book, HealthChequesTM: Journal Babies is your Personal Conception & Pregnancy Organizer, written ...
(Date:5/2/2016)... , ... May 02, 2016 , ... ... and urgent care facilities designed to automate and improve the rapid diagnosis, triage ... it is demonstrating their platform, application, and mobile experience for the first time ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)...   Acsis , a leading provider of supply ... research and advisory firm IDC has named it a ... Pharmaceutical Track and Trace Software 2016 Vendor Assessment (doc ... of the capabilities and business strategies of 10 vendors ... Logo - http://photos.prnewswire.com/prnh/20160427/360791LOGO ...
(Date:4/28/2016)... 2016 New market research ... a report that provides an overview of the ... by identifying new targets and MOAs to produce ... discussed in this H1 2016 Osteoarthritis Pipeline report ... Inc., Abiogen Pharma S.p.A., Ablynx NV, Achelios Therapeutics, ...
(Date:4/27/2016)... 2016   ... sur le trimestre, soutenu par une croissance de ... Croissance de +16% des ventes aux hôpitaux et ... Technologies (Euronext : MKEA, FR0010609263 ; OTCQX : MKEAY), inventeur de ... son chiffre d,affaires pour le premier trimestre clos ...
Breaking Medicine Technology: