Ambulatory treatment gaps in patients with ischemic stroke or transient ischemic attack

The Permanente Journal
Kari L OlsonJohn A Merenich

Abstract

This study evaluated goal attainment for patients with a history of non-cardioembolic ischemic stroke (NCIS) or transient ischemic attack (TIA). A cross-sectional study was conducted in patients aged 18 to 85 years with a history of validated NCIS or TIA. Data collected were demographics, comorbidities, blood pressure (BP), low-density lipoprotein cholesterol (LDL-C) values, and medications within 365 days and most proximal to December 31, 2010. Goal LDL-C and BP were defined as < 100 mg/dL and < 140/90 mm Hg, respectively. Differences in sex and age (< 65 vs ≥ 65 years) were evaluated. There were 1731 patients evaluated (mean age: 73.6 years; 58% women). Stroke type was NCIS in 51.9% and TIA in 48.1%. The LDL-C and BP were measured in 75.4% and 50.3% of patients, respectively. No difference in LDL-C screening rates existed for sex or age. Men and patients younger than age 65 years were significantly more likely to have BP measured. Overall, LDL-C and BP goals were attained by 48.9% and 43.3% of patients, respectively. Men and patients age 65 years or older were likelier than women and patients younger than age 65 years to attain LDL-C goals (p < 0.01). Men were also likelier than women to attain BP < 140/90 mm Hg (p < 0.01), b...Continue Reading

References

May 23, 2001·JAMA : the Journal of the American Medical Association·UNKNOWN Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults
Jan 12, 2005·Archives of Internal Medicine·Kari L OlsonUNKNOWN Clinical Pharmacy Cardiac Risk Service Study Group
Apr 26, 2006·Neurology·B OvbiageleUNKNOWN VISP Study Investigators
Aug 5, 2006·The American Journal of Medicine·Andrew T YanUNKNOWN Vascular Protection (VP) and Guidelines Oriented Approach to Lipid Lowering (GOALL) Registries Investigators
Aug 16, 2006·Archives of Neurology·Nerses SanossianBruce Ovbiagele
Dec 26, 2006·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Brian G SandhoffJohn A Merenich
Sep 28, 2007·Pharmacotherapy·John A MerenichUNKNOWN Clinical Pharmacy Cardiac Risk Service Study Group
Mar 7, 2008·Stroke; a Journal of Cerebral Circulation·Robert J AdamsUNKNOWN American Stroke Association
Feb 14, 2009·Stroke; a Journal of Cerebral Circulation·Gustavo SaposnikUNKNOWN Stroke Outcome Research Canada Working Group
Mar 7, 2009·Stroke; a Journal of Cerebral Circulation·Joseph S RossDawn M Bravata
Nov 11, 2009·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Jose Alvarez-SabinMarc Ribo
Mar 13, 2010·Stroke; a Journal of Cerebral Circulation·Jade W WeiUNKNOWN ChinaQUEST Investigators
Jun 5, 2010·Stroke; a Journal of Cerebral Circulation·Signild AsbergAndreas Terént
Oct 23, 2010·Stroke; a Journal of Cerebral Circulation·Karen L FurieUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular Nursing, Council on Clinical Cardiology, and Interdisci
Sep 9, 2011·Neurology·C D BushnellUNKNOWN AVAIL Investigators

❮ Previous
Next ❯

Citations

Mar 15, 2015·The American Journal of Medicine·Virginia J HowardPaul Muntner

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Antihypertensive Agents: Mechanisms of Action

Antihypertensive drugs are used to treat hypertension (high blood pressure) which aims to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Discover the latest research on antihypertensive drugs and their mechanism of action here.