安大略省的二次中风预防:基于人口的队列研究
Jamie L Fleet1,2,3, Moira K Kapral4,5, Brooke Carter2
1Department of Physical Medicine and Rehabilitation, Schulich School of Medicine and Dentistry, Western University, London, Canada.
概括
在安大略省,二级中风预防护理显示了对指导方针的不理想遵守,特别是在实验室检测方面. 需要进一步的研究来改善二次中风预防策略.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 二次性中风预防对于减少复发性血管事件,死亡率和残疾至关重要.
- 对二次中风预防指标的遵守率尚未得到充分确立.
- 这项研究评估了加拿大安大略省的二次中风预防护理.
研究的目的:
- 评估加拿大安大略省对二次中风预防指标的遵守情况.
- 评估中风后的实验室检测,医生访问和流感疫苗接种率.
- 检查老年人和患有糖尿病或心房动的人的药物使用情况.
主要方法:
- 使用卫生行政数据库进行回顾性队列研究 (2010年4月 - 2019年3月).
- 包括在缺血性中风后活着出院的成年人.
- 在中风后一年内评估的指标,包括特定子组的药物使用.
主要成果:
- 分析了超过54,000名中风幸存者.
- 大多数患者在90天内就诊于全科医生;39.6%在一年内接种流感疫苗.
- 对降脂,抗高血压,抗高血糖和抗凝固药物治疗的坚持有所不同,主要实验室检测的比例低于最佳.
结论:
- 尽管有指导方针,但二次中风预防护理,特别是实验室检测仍然不够理想.
- 优化二次中风护理的障碍需要进一步调查.
- 未来的研究应该专注于改善二次中风预防策略和坚持.
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