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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Outpatient practice patterns after stroke hospitalization among neurologists
Bruce Ovbiagele1, Oksana Drogan, Walter J Koroshetz
1Stroke Center and Department of Neurology, University of California at Los Angeles, 710 Westwood Plaza, Los Angeles, CA 90095, USA. Ovibes@mednet.ucla.edu
Stroke
|April 5, 2008
Summary
Neurologists frequently screen for and treat vascular risk factors after stroke, but gaps exist. Improving coordination with primary care can optimize post-stroke care and outcomes.
Area of Science:
- Neurology
- Cardiovascular Medicine
- Public Health
Background:
- Post-stroke care presents opportunities for optimizing vascular risk reduction.
- Understanding current practice patterns among neurologists is crucial for improving stroke outcomes.
Purpose of the Study:
- To investigate the practice patterns of neurologists in outpatient vascular risk reduction after ischemic stroke or transient ischemic attack.
- To identify potential areas for improvement in post-stroke care.
Main Methods:
- A survey was distributed to 833 US and Canadian neurologist members of the American Academy of Neurology.
- The survey collected data on outpatient care processes for vascular risk factors following hospitalization for ischemic stroke or transient ischemic attack.
Main Results:
- 57% of surveyed neurologists reported frequent medication adherence checks and lifestyle counseling.
- Neurologists screened more often for diabetes, hypertension, and dyslipidemia than they treated these conditions.
- Vascular neurologists demonstrated higher rates of screening and treatment for major vascular risk factors compared to general neurologists.
Conclusions:
- While screening and treatment rates for vascular risk factors post-stroke are substantial, they are not universal among neurologists.
- Addressing knowledge gaps and implementing systematic management, potentially with primary care physician collaboration, can enhance post-stroke care.