Результаты исследований: Научные публикации в периодических изданиях › статья › Рецензирование
Secondary prevention and lifestyle indices after stroke in a long-term perspective. / Jönsson, A C; Delavaran, H; Lövkvist, H; Baturova, M; Iwarsson, S; Ståhl, A; Norrving, B; Lindgren, A.
в: Acta Neurologica Scandinavica, Том 138, № 3, 09.2018, стр. 227-234.Результаты исследований: Научные публикации в периодических изданиях › статья › Рецензирование
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TY - JOUR
T1 - Secondary prevention and lifestyle indices after stroke in a long-term perspective
AU - Jönsson, A C
AU - Delavaran, H
AU - Lövkvist, H
AU - Baturova, M
AU - Iwarsson, S
AU - Ståhl, A
AU - Norrving, B
AU - Lindgren, A
N1 - © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
PY - 2018/9
Y1 - 2018/9
N2 - OBJECTIVES: To describe the long-term perspective regarding prevalence of risk factors, secondary stroke prevention, and lifestyle indices after stroke.METHODS: From a population-based one-year cohort (n = 416), we performed an observational study of 145 survivors at 16 months and 10 years after stroke (age 27-97 years) regarding secondary prevention including reaching acceptable treatment goals; nutritional status with focus on underweight; and the lifestyle indices: living situation, level of dependence, and self-assessed health condition.RESULTS: Ten years after stroke, 50% of the subjects with hypertension diagnosis and 55% of those without hypertension diagnosis were within the blood pressure goal <140/90 compared with 32% (P = .008) and 37% (N.S.) at 16 months. Acceptable HbA1c levels among subjects with diabetes mellitus diagnosis increased from 35% to 45% (N.S.). Among those without diabetes diagnosis, satisfactory HbA1c levels decreased from 98% to 79% (P < .001). Underweight increased from 9% to 17% (P = .019). Among patients with cerebral infarction, the prevalence of atrial fibrillation increased from 22% to 29% (P = .004), and treatment with oral anticoagulants from 75% to 78% (N.S.). Acceptable LDL cholesterol levels increased from 59% to 80% (P = .033) among subjects on lipid lowering treatment, and from 18% to 40% among untreated (P = .010). At 10 years, 90% still lived in their own home. Health condition was reported as good/very good/excellent by 65%. Age, female sex, and living situation were associated with intensity of secondary prevention measures and underweight.CONCLUSIONS: The proportion of individuals within treatment goals improved over time, but secondary prevention still needed additional consideration 10 years after stroke.
AB - OBJECTIVES: To describe the long-term perspective regarding prevalence of risk factors, secondary stroke prevention, and lifestyle indices after stroke.METHODS: From a population-based one-year cohort (n = 416), we performed an observational study of 145 survivors at 16 months and 10 years after stroke (age 27-97 years) regarding secondary prevention including reaching acceptable treatment goals; nutritional status with focus on underweight; and the lifestyle indices: living situation, level of dependence, and self-assessed health condition.RESULTS: Ten years after stroke, 50% of the subjects with hypertension diagnosis and 55% of those without hypertension diagnosis were within the blood pressure goal <140/90 compared with 32% (P = .008) and 37% (N.S.) at 16 months. Acceptable HbA1c levels among subjects with diabetes mellitus diagnosis increased from 35% to 45% (N.S.). Among those without diabetes diagnosis, satisfactory HbA1c levels decreased from 98% to 79% (P < .001). Underweight increased from 9% to 17% (P = .019). Among patients with cerebral infarction, the prevalence of atrial fibrillation increased from 22% to 29% (P = .004), and treatment with oral anticoagulants from 75% to 78% (N.S.). Acceptable LDL cholesterol levels increased from 59% to 80% (P = .033) among subjects on lipid lowering treatment, and from 18% to 40% among untreated (P = .010). At 10 years, 90% still lived in their own home. Health condition was reported as good/very good/excellent by 65%. Age, female sex, and living situation were associated with intensity of secondary prevention measures and underweight.CONCLUSIONS: The proportion of individuals within treatment goals improved over time, but secondary prevention still needed additional consideration 10 years after stroke.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Cohort Studies
KW - Female
KW - Humans
KW - Life Style
KW - Male
KW - Middle Aged
KW - Prevalence
KW - Risk Factors
KW - Secondary Prevention/methods
KW - Stroke/complications
KW - risk factors
KW - secondary prevention
KW - cohort
KW - longitudinal study
KW - stroke
KW - lifestyle
KW - epidemiology
KW - outcome
KW - QUALITY
KW - REGISTER
KW - RISK-FACTORS
KW - ISCHEMIC-STROKE
UR - http://www.scopus.com/inward/record.url?scp=85051284421&partnerID=8YFLogxK
UR - http://www.mendeley.com/research/secondary-prevention-lifestyle-indices-after-stroke-longterm-perspective
U2 - 10.1111/ane.12944
DO - 10.1111/ane.12944
M3 - Article
C2 - 29671868
AN - SCOPUS:85051284421
VL - 138
SP - 227
EP - 234
JO - Acta Neurologica Scandinavica
JF - Acta Neurologica Scandinavica
SN - 0001-6314
IS - 3
ER -
ID: 35255020