Perceived and actual stroke risk among men with hypertension.

The Journal of Clinical Hypertension
Benjamin J PowersHayden B Bosworth

Abstract

The purposes of this study were to determine whether there is a significant correlation between the perceived and actual stroke risk among hypertensive patients and to identify patient characteristics associated with inaccurate estimation of stroke risk. The authors performed a cross-sectional analysis of 296 men with hypertension who were enrolled in the Veterans Study to Improve the Control of Hypertension (V-STITCH). A patient's actual stroke risk was calculated using the Framingham stroke risk (FSR); patients' perceived risk was measured according to a self-reported 10-point risk scale. The median 10-year FSR was 16%, but the median perceived risk score was 5 (range, 1 [lowest] to 10 [highest]). There was no significant correlation between patients' perceived risk of stroke and their calculated FSR (Spearman rho=-0.08; P=.16; 95% confidence interval, -0.19 to 0.03). Patients who underestimated their stroke risk were significantly less likely to be worried about their blood pressure than patients with accurate risk perception (12.4% vs 69.6%; P<.0001). The lack of correlation between hypertensive patients' perceived stroke risk and FSR supports the need for better patient education on the risks associated with hypertension.

Citations

Aug 7, 2012·Journal of General Internal Medicine·George L JacksonHayden B Bosworth
Dec 4, 2012·Stroke; a Journal of Cerebral Circulation·Adam Richards, Eric M Cheng
Sep 16, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Anders FournaiseAnja Leppin
Jun 30, 2009·The American Journal of Medicine·Benjamin J PowersHayden B Bosworth
Feb 16, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·George NtaiosGeorge N Dalekos
Apr 9, 2011·American Heart Journal·Benjamin J PowersHayden B Bosworth
Dec 16, 2017·Western Journal of Nursing Research·Dawn M AycockSemere Araya
Feb 8, 2013·The Journal of Cardiovascular Nursing·Li-Hong WanHeng-Fang Ruan
Feb 16, 2021·JAMA Network Open·Amytis TowfighiUNKNOWN Secondary Stroke Prevention by Uniting Community and Chronic Care Model Teams Early to End Disparities (SUCCEED) Investigato

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