A guideline-based program may improve the outcome of stroke among illiterate patients

International Journal of Stroke : Official Journal of the International Stroke Society
Jun NiSMART Investigators

Abstract

Education level is considered as an important factor for post-stroke functional outcome. Our previous study confirms the feasibility of SMART program to improve adherence of secondary stroke prevention in China. We aim to investigate whether this program can influence the impact of educational level on post-stroke functional outcome in this sub-group analysis of SMART study. We enrolled 3722 patients with acute ischemic stroke from multicenter (n = 47) SMART cohort. Patient's educational level was categorized as three: illiterate, 6th grade or lower, and 7th grade or higher. Functional outcome at six-month post-stroke was assessed by Modified Rankin Scale (mRS) and categorized as favorable (mRS: 0-2) or poor (mRS: 3-5). Binary logistic model, adjusting for age, gender, stroke history, hypertension, diabetes, hyperlipidemia, educational level, and NIHSS was performed, respectively, in SMART group and usual care group to evaluate the effect of the SMART program on stroke functional outcome among different educated patients. In both groups, logistic regression analysis showed that poor functional outcome was independently associated with older age [OR(95% CI):1.81(1.41-2.33), p < 0.001(SMART); OR (95% CI):1.38 (1.09-1.73), p = 0.0...Continue Reading

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Citations

Dec 12, 2018·Psychology, Health & Medicine·N AujlaN Sprigg
Aug 12, 2020·Journal of the American Heart Association·Bizhong CheChongke Zhong

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