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London, United Kingdom 2013 10 Stroke prevention A 12:00 - 12:10 Systematic detailed drug information improving adherence rates to hospital discharge medication in patients with ischemic stroke C. Hohmann1, R. Radziwill2, J.M. Klotz3, A. Freidank4, T. Neumann-Haefelin5 Klinikum Fulda gAG, Fulda, GERMANY1,Klinikum Fulda gAG, Fulda, GERMANY2, Klinikum Fulda gAG, Fulda, GERMANY3, Klinikum Fulda gAG, Fulda, GERMANY4, Klini-kum Fulda gAG, Fulda, GERMANY5 Background: The adherence to hospital recommendations concerning secondary prevention fol-lowing stroke is often less than optimal. One important reason is a lack of information transfer between hospital and the primary care physician (PCP). In particular, discharge letters often do not contain detailed information about reasons for modifications of drug treatment. Methods: We developed a medication report which includes medication on hospital admission and upon discharge in a table to make drug changes visible at a glance. We gave detailed in-formation on all medication changes during hospital stay, and highlights drugs started/stopped, we evaluated it on clinical practice. Patients with ischemic stroke, and taking >=2 drugs during hospital stay and at discharge, were prospectively recruited (1). The current medication was in-cluded by the neurologist in the discharge letter (Control group=CG). In the intervention group (IG) the clinical pharmacist included the medication report with detailed information in the discharge letter, approved by the neurologist. In order to evaluate the impact of the medication report the PCP was interviewed by phone 3 months after hospital discharge about the current medication list. The impact was measured on the basis of adherence to recommended medica-tion Cerebrovasc Dis 2013; 35 (suppl 3)1-854 125 in the discharge letter. Results: 156 patients were enrolled in each group. By providing detailed information in the discharge letter, the adherence rose significantly from 83.3% (CG) to 90.9% (IG) (p=0.01). Sig-nificant differences between the CG and IG were ascertained with regard to adherence to both antithrombotic drugs (83.8% CG vs. 91.9% IG (p=0.033)) and to statin therapy (69.8% CG vs. 87.7% IG (p<0.001). Conclusion: Providing detailed information on medication changes can lead to substantially improved adherence to discharge medication, probably resulting in better secondary stroke pre-vention. Reference: 1. Hohmann C et al. Stroke, 2012. doi: 10.1161/strokeaha.112.678847 9 Stroke prevention A 11:50 - 12:00 IMPACT OF A NATIONAL MEDIA CAMPAIGN ON POPULATION KNOWLEDGE AND INTENTIONS IN RELATION TO STROKE. A. Hickey1, R. Conroy2, L. Mellon3, D. Williams4, E. Shelley5 Royal College of Surgeons in Ireland, Dublin 2, IRELAND1,Royal College of Surgeons in Ireland, Dublin 2, IRELAND2, Royal College of Surgeons in Ireland, Dublin 2, IRELAND3, Royal College of Surgeons in Ireland, Dublin 2, IRELAND4, Royal College of Surgeons in Ire-land, Dublin 2, IRELAND5 Aims: Acute medical management of stroke is time sensitive. Pre-hospital delay is identified as a sig-nificant barrier to stroke care. Rapid access to high quality stroke care decreases mortality and improves patient outcomes. This study examined general population awareness of stroke warn-ing signs and appropriate response before and after exposure to a stroke symptom awareness (FAST) campaign. Methods: In June 2009 and February 2011, 1000 members of the general public aged 18+ were inter-viewed by telephone using the Stroke Awareness Questionnaire (Hickey et al., 2012). The sam-ple was randomly selected using quota sampling based on the most recent Irish Census (2006). A mass media campaign was run between the two survey dates from May 2010 to January 2011. Results: 71% and 72% of respondents could identify 2 or more stroke risk factors in waves 1 and 2 of the surveys, respectively. Knowledge of stroke warning signs increased from 30.7% to 68.7% (OR 4.9, p<.0001). Numbers who would call an ambulance in response to stroke increased from 47.1% to 57.6% (OR 1.5, p<.001). Conclusions: Results of this survey indicate that the first waves of the FAST campaign have had a very significant positive impact on population awareness of stroke warning signs. Where gaps in knowledge are in evidence, there is the opportunity for ongoing public education efforts. A sig-nificant soncern is the lack of impact of the time urgency component of the campaign. Reference: Hickey A, Holly D, McGee H, Conroy R, Shelley E. Knowledge of stroke risk factors and warning signs in Ireland: development and application of the Stroke Awareness Questionnaire (SAQ). Int J Stroke 2012;7(4):298-306. PMID 22141425


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