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[Results of secondary prevention of stroke in a polyclinic setting]
Insights
Long-term cerebral stroke prophylaxis effectively reduces stroke incidence and delays disease onset in high-risk individuals. Systematic preventive measures significantly decrease work capacity loss and secondary stroke occurrences.
Area of Science:
- Neurology
- Public Health
- Preventive Medicine
Context:
- Identified a high-risk group for cerebral stroke (64 subjects, 40-65 years old).
- Implemented three-year outpatient preventive measures.
- Observed declining stroke incidence (13 in 1980 to 5 in 1982).
Purpose:
- To assess the effectiveness of long-term, systematic cerebral stroke prophylaxis.
- To evaluate the impact of preventive measures on stroke incidence and temporal work capacity loss.
- To determine the effect of prophylaxis on the age of stroke onset.
Summary:
- A high-risk group for cerebral stroke received three years of outpatient preventive care.
- Cerebral stroke cases decreased annually, and temporal work capacity loss significantly reduced.
- Adequate prophylaxis delayed secondary stroke occurrence, particularly in individuals under 60.
Impact:
- Demonstrates that systematic cerebral stroke prophylaxis contributes to "aging" of the disease.
- Highlights the importance of consistent preventive strategies in reducing stroke burden.
- Shows significantly lower rates of secondary strokes in adequately prophylaxed individuals (17.7% vs. 60.1%).
Abstract:
Using special prediction forms, a high risk group for the development of cerebral stroke was identified, including 64 subjects (50 males, 14 females), aged 40-65 years, working in different establishments. Preventive measure were conducted under out-patient conditions for three years. The number of cerebral strokes was 13 in 1980; 8 in 1981; and five cases in 1982. The indices of a temporal loss of the working capacity in this group decreased from 21 cases and 516 days to 6 cases and 159 days. It was established that long-term and systematic prophylaxis of cerebral stroke contributes to its "aging". Thus, in the presence of adequate prophylaxis, a secondary cerebral stroke in individuals under 60 years of age with a history of cerebral stroke occurred only in 17.7%, while in cases of inadequate prophylaxis or its absence, the respective figure was 60.1%.