Abstract
Background: From 2017, the Stroke Health Manager Training Project was carried out by the Chinese Government to strengthen health management and follow-up intervention after ischemic stroke. The aim of this study was to investigate whether after the intervention of the stroke health manager, the control of blood pressure, low-density lipoprotein cholesterol (LDL-C), glucose level, and the use of secondary prevention medications improved 3 months after discharge from our center following ischemic stroke.Methods: The study used a history-controlled approach. Patients who received stroke health manager intervention from May 1, 2018, to March 31, 2019, were considered as the intervention group; those from May 1, 2017, to April 30, 2018, were enrolled as the control group. Stroke health manager intervention included health education, discharge advice, online WeChat public group follow-up, and clinical consultation.Results: In total, 642 patients with ischemic stroke were enrolled in this study (277 in the control group, 365 in the intervention group). At 3 months, the blood pressure, LDL-C and glucose control in the intervention group were better than in the control group (all P < 0.05). At the same time, the overall persistence for secondary prevention medications at 3 months after discharge increased from 201/277 (72.56%) to 303/365 (83.01%, P = 0.001). The persistence for patients taking antiplatelet, hypoglycemic and statins were significantly higher in the intervention group (P < 0.05).Conclusions: Stroke health manager intervention improved the control of blood pressure, LDL-C, glucose levels and the persistence for secondary prevention medications 3 months after discharge.
Highlights
Stroke is the leading cause of death in China [1]
Stroke health manager intervention improved the control of blood pressure, low-density lipoprotein cholesterol (LDL-C), glucose levels and the persistence for secondary prevention medications 3 months after discharge
Results measured in the follow-up clinic at 3 months after discharge were used as outcome indicators, which included sitting systolic blood pressure (SBP), diastolic blood pressure (DBP), blood lipids, modified Rankin score, and recurrence rate
Summary
Stroke is the leading cause of death in China [1]. China’s National Stroke Registry investigated patients who had previously experienced acute ischemic stroke and found that the 1-year recurrence rate of stroke was 17.7% [2]. For stroke patients, strengthening health management to control risk factors and focusing on compliance with secondary prevention are critical [3,4,5]. In China, the compliance of stroke patients with risk factor control and secondary prevention is unsatisfactory [6,7,8]. From 2017, the Stroke Health Manager Training Project was carried out by the Chinese Government to strengthen health management and follow-up intervention after ischemic stroke. The aim of this study was to investigate whether after the intervention of the stroke health manager, the control of blood pressure, low-density lipoprotein cholesterol (LDL-C), glucose level, and the use of secondary prevention medications improved 3 months after discharge from our center following ischemic stroke
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