Case management for blood pressure and lipid level control after minor stroke: PREVENTION randomized controlled trial.

ABSTRACT:

Background

Optimization of systolic blood pressure and lipid levels are essential for secondary prevention after ischemic stroke, but there are substantial gaps in care, which could be addressed by nurse- or pharmacist-led care. We compared 2 types of case management (active prescribing by pharmacists or nurse-led screening and feedback to primary care physicians) in addition to usual care.

Methods

We performed a prospective randomized controlled trial involving adults with recent minor ischemic stroke or transient ischemic attack whose systolic blood pressure or lipid levels were above guideline targets. Participants in both groups had a monthly visit for 6 months with either a nurse or pharmacist. Nurses measured cardiovascular risk factors, counselled patients and faxed r

SUBMITTER: McAlister FA 

PROVIDER: S-EPMC4016053 | biostudies-literature | 2014 May

REPOSITORIES: biostudies-literature