Evaluation of Physicians' Compliance With Secondary Prevention Among Ischemic Stroke Patients: A Retrospective Study.

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Cardiology Research Pub Date : 2023-08-01 DOI:10.14740/cr1500

Alaa Alhubaishi, Maha A Almutairi, Malak A Alasqah, Shihanah H Alharthi, Abdulhadi M Alqahtani, Lina I Alnajjar

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Abstract

Background: Stroke is a leading cause of disability and death worldwide. Globally, stroke affects 13.7 million individuals every year. Several studies have shown an increase in the rehospitalization rate among stroke patients caused by non-adherence to secondary prevention as recommended by the American Heart Association/American Stroke Association (AHA/ASA) guideline. The aim of this study was to evaluate physicians' compliance with secondary prevention of stroke upon patients' discharge.

Methods: A retrospective chart review study was conducted at King Fahad Medical City. The primary outcome of this study was the number of patients discharged with the recommended medications for the secondary prevention of ischemic stroke (IS). The data were collected from the patient's medical record files and analyzed using the Statistical Package for the Social Sciences (SPSS).

Results: Of the 675 patients who were screened for eligibility, 507 were included and 168 were excluded. The mean age of the patients was 59.5 (± 15.6) years. Of the 507 patients, 181 (35.7%) had a history of previous stroke. Overall, 376 (74%) stroke patients were discharged with appropriate secondary prevention recommendation per AHA/ASA guideline.

Conclusions: This study stresses the importance of compliance with the AHA/ASA guideline for secondary stroke prevention and highlights the role of pharmacists in the stroke unit in which it is necessary to ensure that all stroke patients are discharged with the recommended medications to reduce recurrent stroke.

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缺血性脑卒中患者二级预防依从性评价:一项回顾性研究。

背景:中风是世界范围内致残和死亡的主要原因。在全球范围内，中风每年影响1370万人。几项研究表明，未按照美国心脏协会/美国卒中协会(AHA/ASA)指南推荐的二级预防治疗导致卒中患者再住院率增加。本研究的目的是评估医生在病人出院时对中风二级预防的依从性。方法:在法赫德国王医疗城进行回顾性图表回顾研究。本研究的主要结局是接受推荐的缺血性卒中二级预防药物治疗出院的患者数量。数据从患者的医疗记录文件中收集，并使用社会科学统计软件包(SPSS)进行分析。结果:在675例筛选合格的患者中，507例被纳入，168例被排除。患者平均年龄59.5(±15.6)岁。507例患者中，181例(35.7%)有卒中史。总体而言，376例(74%)脑卒中患者出院时根据AHA/ASA指南接受了适当的二级预防建议。结论:本研究强调了遵守AHA/ASA二级卒中预防指南的重要性，并强调了药剂师在卒中单元中的作用，在卒中单元中，有必要确保所有卒中患者出院时使用推荐的药物来减少卒中复发。

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来源期刊

Cardiology Research CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： Cardiology Research is an open access, peer-reviewed, international journal. All submissions relating to basic research and clinical practice of cardiology and cardiovascular medicine are in this journal''s scope. This journal focuses on publishing original research and observations in all cardiovascular medicine aspects. Manuscript types include original article, review, case report, short communication, book review, letter to the editor.