Adherence to Guidelines at a Stroke Prevention Clinic: A Follow-up Study
Adherence to Guidelines at a Stroke Prevention Clinic: A Follow-up Study
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DOI：
10.1017/cjn.2018.352
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发表时间：
2019-01-01
影响因子：
3
通讯作者：
Cote, Robert
中科院分区：
文献类型：
--
作者：
Chen, Bing Yu;Perkins, Heather;Cote, Robert
背景2010年，我们公布了我们的中风预防诊所的表现相比，加拿大中风预防指南。我们现在比较我们的诊所的遵守准则，我们以前的结果，以下实施的电子文件形式。方法纳入2014年至2017年期间因近期短暂性脑缺血发作（TIA）或缺血性卒中转诊至我们诊所（麦吉尔大学健康中心）的所有新患者。我们比较了我们以前的报告（N=408例患者，2008-2010年）关于血管风险管理和治疗的指南依从性。结果共纳入392例患者，其中TIA占36%，缺血性卒中占64%，平均年龄70岁，女性占43%。尽管最近的队列显示，与之前相比，在延长心脏监测的新指南下，心源性栓塞性卒中的比例更高（19.1% vs. 14.7%），但CT血管造影术的普及并没有转化为大动脉卒中亚型的比例更高（26.3% vs. 26.2%）。血压（BP）达标率为83%，而我们之前的报告为70%（p
Background In 2010, we published our stroke prevention clinic's performance as compared to Canadian stroke prevention guidelines. We now compare our clinic's adherence with guidelines to our previous results, following the implementation of an electronic documentation form. Methods All new patients referred to our clinic (McGill University Health Center) for recent transient ischemic attack (TIA) or ischemic stroke between 2014 and 2017 were included. We compared adherence to guidelines to our previous report (N=408 patients for period 2008-2010) regarding vascular risk management and treatment. Results Three hundred and ninety-two patients were included, of which 36% had a TIA and 64% had an ischemic stroke, with a mean age of 70 years and 43% female. Although the more recent cohort has shown a higher proportion of cardioembolic stroke compared to previous (19.1% vs. 14.7%) following new guidelines regarding prolonged cardiac monitoring, increased popularity in CT angiography has not translated into greater proportion of large-artery stroke subtype (26.3% vs. 26.2%). Blood pressure (BP) targets were achieved in 83% compared with 70% in our previous report (p