Effects of a Disease Management Program for Preventing Recurrent Ischemic Stroke

Stroke; a Journal of Cerebral Circulation
Yasuko Fukuokafor DMP Stroke Trial Investigators

Abstract

Background and Purpose- Disease management is a healthcare strategy that includes self-management education and treatment coordination. We conducted a randomized controlled trial to determine whether a disease management program intervention could improve risk factor profiles and, thus, reduce the recurrence of stroke and other cardiovascular diseases. Methods- This study is a prospective randomized, open-label, parallel group study involving outpatients with a history of stroke. Between September 2010 and November 2012, we enrolled patients aged between 40 and 80 years who experienced their last ischemic stroke event or transient ischemic attack within 1 year. After stratifying by the ischemic stroke subtype, 321 subjects (67.5±8.5 years, 95 female) were randomly assigned to either the disease management program intervention group (n=156) or the usual care group (n=165). The primary end point of this study was the difference in the Framingham risk score (general cardiovascular disease 10-year risk) from baseline. The secondary end points of this study included stroke recurrence, onset of cardiovascular disease, all-cause mortality, and all vascular events. Results- Regarding the primary end point, there was no significant diff...Continue Reading

References

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Jan 13, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Yasuko FukuokaUNKNOWN DMP Stroke Trial Investigators
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Citations

May 6, 2021·International Journal of Stroke : Official Journal of the International Stroke Society·Christian BoehmeStefan Kiechl

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