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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
A survey on adherence to secondary ischemic stroke prevention
Yongjun Wang1, Di Wu, Yilong Wang
1Department of Neurology, Beijing Tiantan Hospital, Capital University of Medical Sciences, Chongwen Disrict, Beijing 100050, China. Yongjunwang111@yahoo.com.cn
Neurological Research
|February 9, 2006
Summary
Stroke patients show poor adherence to secondary prevention strategies. Factors like insurance and free care improve compliance, while non-aspirin drugs and low daily activity levels hinder it.
Area of Science:
- Neurology
- Public Health
- Pharmacology
Background:
- Adherence to post-stroke care is crucial for preventing recurrent events.
- Understanding compliance barriers is essential for effective secondary stroke prevention.
Purpose of the Study:
- To assess adherence to secondary prevention strategies within one year post-ischemic stroke.
- To identify factors influencing compliance with antithrombotic treatment.
Main Methods:
- Retrospective telephone follow-up survey of ischemic stroke and TIA patients.
- Data collection on antithrombotic prescription, adherence, and reasons for non-compliance.
Main Results:
- Only 36.4% of patients remained on their prescribed antithrombotic agent one year post-discharge.
- Medical insurance and free care positively impacted medication compliance.
- Non-aspirin antithrombotics and lower Barthel index scores negatively affected compliance.
Conclusions:
- Adherence to secondary stroke prevention strategies is suboptimal.
- Financial support and patient's functional status significantly influence medication compliance.
- Enhanced patient education and support are needed to improve long-term adherence.
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