In-hospital initiation of secondary prevention is associated with improved vascular outcomes at 3 months

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Abdul RahimanBruce Ovbiagele

Abstract

Although various in-hospital stroke quality improvement programs have been associated with high treatment rates at hospital discharge, there are few data on the impact of these programs on clinical outcomes. We evaluated the impact of the PROTECT (Preventing Recurrence Of Thromboembolic Events through Coordinated Treatment) program on short-term vascular risk. Prospective data collected after discharge for ischemic stroke or transient ischemic attack caused by presumed atherosclerotic mechanism from a PROTECT intervention hospital and a comparison community hospital, which used conventional care, were compared. The 3-month follow-up clinical outcome data were then evaluated and differences in outcome frequency data between the two hospital groups were analyzed using Fisher's exact test. Covariate adjusted comparisons of percent with a vascular event was computed via logistic regression methods. A total of 224 patients met study criteria: 126 patients at a PROTECT hospital and 98 patients at a comparator hospital. The 3-month postdischarge data were available for 78 patients at PROTECT hospital versus 65 control patients. Patients at a PROTECT hospital were more likely to be younger, be current smokers, and not have a history of...Continue Reading

References

May 24, 2000·Neurology·R G HollowayS R Rush
Apr 17, 2003·Cerebrovascular Diseases·Graeme J Hankey
Oct 30, 2004·Stroke; a Journal of Cerebral Circulation·Bruce OvbiageleChelsea S Kidwell

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Citations

Dec 24, 2013·Lancet Neurology·Graeme J Hankey
Jun 23, 2011·Circulation. Cardiovascular Quality and Outcomes·Christianne L RoumieDawn M Bravata
Nov 7, 2014·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Abdullah Al-SaltiRobert Côté
Jul 28, 2011·Women's Health·Daphne Antillon, Amytis Towfighi
Nov 26, 2010·Expert Review of Cardiovascular Therapy·Kate Lager, Amit K Mistri
Aug 30, 2008·Journal of the Neurological Sciences·Bruce Ovbiagele
Jul 22, 2014·International Journal of Stroke : Official Journal of the International Stroke Society·Mayowa O OwolabiBruce Ovbiagele
Oct 14, 2014·The Journal of Clinical Hypertension·Andrea D BoanDaniel T Lackland
May 16, 2017·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Eric M ChengDawn M Bravata
Jan 2, 2015·The Neurohospitalist·Stephanie Rennke, Sumant R Ranji
Dec 18, 2013·Stroke; a Journal of Cerebral Circulation·Amanda G ThriftRoger G Evans
Dec 18, 2010·Stroke; a Journal of Cerebral Circulation·Gregg C FonarowUNKNOWN Get With The Guidelines Steering Committee and Hospitals
Dec 3, 2009·Critical Pathways in Cardiology·Bruce Ovbiagele
Jan 6, 2019·Neurology·Rebecca J LankLewis B Morgenstern
Nov 30, 2018·Journal of General Internal Medicine·Barbara J HomoyaDawn M Bravata
Jan 29, 2019·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Bing Yu ChenRobert Côté
Feb 8, 2018·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·D I LebedevaA S Orlova
Feb 15, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Aditya BhatNigel Wolfe
Mar 23, 2017·Journal of the Neurological Sciences·J Jaime MirandaBruce Ovbiagele

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