London, United Kingdom 2013 Poster Session Nurses/AHP’s Cerebrovasc Dis 2013; 35 (suppl 3)1-854 219 2045 Management of diabetes, hypertension and inflammation Management of hypertension for secondary stroke prevention N. Hornnes1, G. Boysen2 Herlev Hospital, Herlev, DENMARK1, Bispebjerg Hospital, Copenhagen, DENMARK2 Background About 25% of admissions to stroke units in Denmark are caused by recurrent strokes. Management of hypertension is a corner stone in the prevention of stroke recurrence. Studies on blood pressure management after stroke are few and the results are discouraging. Methods We did a cohort study of patients admitted to Copenhagen Hospitals with acute stroke or TIA from April 2004 to September 2007. Study nurses performed a home-based 1-year follow up visit in 424 survivors with blood pressure measurements and interviews on health behaviour. We performed lo-gistic regression analysis of predictors of hypertension at follow up. Hypertension was defined as a blood pressure >=140/90 mm Hg or, in case of diabetes >=130/80 mm Hg. Age, gender, marital sta-tus, high baseline blood pressure, visits to the general practitioner, antihypertensive treatment, use of pill containers/nurse or spouse assisted medication, compliance with antihypertensive treatment, and home blood pressure measurements were entered into the model. Results Mean age was 70 years (SD 12.7), and 205 (48%) were women. We found that 260 (61%) were hypertensive one year after stroke. High baseline blood pressure (odds ratio 1.98 (p=0.003)), liv-ing alone (odds ratio 1.69 (p=0.020)), and self-measurement of blood pressure (odds ratio 2.99 (p=0.0008)) predicted hypertension one year after stroke. Conclusion Hypertension was seen in the majority of stroke survivors one year after stroke. We need to find a way of reducing this strong risk factor for recurrent stroke. At present the effects of a nurse led phy-sician supervised preventive clinic is being studied at Copenhagen University Hospital, Herlev. We aim at education and self–monitoring for the active involvement of the patient in treatment to target of the blood pressure
Karger_ESC London_2013
To see the actual publication please follow the link above