Title: Current situation of secondary prevention and risk factors related to recurrent stroke in patients with ischemia stroke in communities
Abstract: Objective To investigate the current situation of secondary prevention and risk factors related to recurrent stroke in patients with ischemia stroke in some communities of Beijing. Methods The patients with stroke(n=326) were chosen from 4 community health centers, and their data of sex, age, history of hypertension, diabetes, atrial fibrillation(AF) and stroke, antithrombosis treatment, and indexes of height, weight, blood pressure(BP), blood sugar and total cholesterol(TC) were collected. The exposure and control of stroke risk factors and their influences on recurrent stroke were analyzed. Results Of 326 patients, there were 199(61.0%) males and 127(39.0%) females. The prevalence of hypertension, diabetes and AF was, respectively, 79.8%, 20.6% and 17.8%, and rate of smoking, alcohol and abnormal TC was, respectively, 30.2%, 22.4% and 21.5%. The rate of BP control was 15.4% in hypertensive patients, rate of blood sugar control was 40.2% in diabetic patients, and rate of taking aspirin was 74.2%. There were 51 cases(15.6%) with recurrent stroke. After adjusting sex, age, overweight, obesity, smoking and antithrombosis treatment, the risk of recurrent stroke increased significantly in hypertensive patients with poorly BP control(OR=3.867, 95%CI: 1.288-11.609), in diabetic patients with poorly blood sugar control(OR=3.288, 95%CI: 1.458-7.415), in patients with abnormal TC(OR=2.659, 95%CI: 1.341-5.273), and in patients with AF(OR=2.181, 95%CI: 1.063-4.477). Conclusion The rates of BP control and diabetes control are lower, and rates of smoking, alcohol and abnormal TC are higher in the patients with ischemia stroke. Poorly hypertension and blood sugar control, abnormal TC and AF are significantly correlated to stroke recurrence.
Publication Year: 2014
Publication Date: 2014-01-01
Language: en
Type: article
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Cited By Count: 1
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