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Related Experiment Videos

The Avoid Stroke as Soon as Possible (ASAP) general practice stroke audit.

Jonathan W Sturm1, Stephen M Davis, John G O'Sullivan

  • 1National Stroke Research Institute and Department of Neurology, Austin and Repatriation Medical Centre, West Heidelberg, VIC.

The Medical Journal of Australia
|May 16, 2002
PubMed
Summary

Stroke risk factors are common in general practice, with hypertension and high cholesterol being most prevalent. Improved management strategies are needed to reduce stroke incidence.

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Area of Science:

  • Cardiovascular epidemiology
  • General practice research
  • Public health

Background:

  • Stroke remains a leading cause of disability and mortality.
  • Effective management of modifiable risk factors is crucial for primary stroke prevention.
  • General practice settings offer opportunities for early detection and intervention.

Purpose of the Study:

  • To determine the prevalence of key stroke risk factors in an Australian general practice population.
  • To identify current pharmacotherapy use for managing these risk factors.
  • To establish a baseline for future stroke prevention initiatives.

Main Methods:

  • A multicentre, observational study involving 321 general practitioners across Australia.
  • Data collected from 16,148 consecutive patients aged 30 years and older.

Related Experiment Videos

  • Assessed prevalence of hypertension, hypercholesterolaemia, diabetes, smoking, atrial fibrillation, and prior stroke/TIA, alongside pharmacotherapy use.

    • Main Results:

    • 70% of patients had at least one stroke risk factor; 34% had two or more.
    • Hypertension (44%) and hypercholesterolaemia (43%) were the most prevalent risk factors.
    • Pharmacotherapy use included cardiovascular agents (e.g., ACE inhibitors) and antiplatelet agents, with two-thirds of hypertensive patients receiving treatment.

    Conclusions:

    • Stroke risk factors are highly prevalent in primary care patients.
    • General practitioners are well-positioned for opportunistic screening and risk factor management.
    • Significant opportunities exist to enhance the management of stroke risk factors in primary care.