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Updated: Aug 9, 2025
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Published on: March 8, 2018
Coordinated Patient Care via Mobile Phone-Based Telemedicine in Secondary Stroke Prevention: A Propensity
Dong-Mei Li1, Xiao-Ying Lu, Peng-Fei Yang
1Department of Cerebrovascular Center (Mss Li, Zheng, and Hu and Drs Yang, Zhou, and Liu), Nursing Department (Ms Lu), and Nursing Teaching and Research Department (Dr Zhang), Changhai Hospital, Naval Medical University, Shanghai, PR China.
Background:
To prevent recurrent stroke, patients need to follow evidence-based practices following discharge; however, adherence to these practices is suboptimal.
Purpose:
To evaluate whether a smartphone mobile application can improve medication adherence and stroke awareness in secondary stroke prevention.
Methods:
A retrospective study design was used. Patients with ischemic stroke registered in a database between August 2018 and January 2019 were enrolled. Propensity score matching was used to match patients managed with the mobile application compared with regular practice in a 1:2 ratio.
Results:
Sixty-five patients were paired with 123 controls. Three-month medication adherence was 93.8% in the application group versus 82.9% in the control group ( P = .036). Patients in the application group were more likely to know stroke warning signs ( P = .003) and when to call an ambulance for stroke symptoms (87.7% vs 72.4%, P = .016).
Conclusions:
Using a mobile application may increase medication adherence and stroke awareness in secondary stroke prevention.
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