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London, United Kingdom 2013 Poster Session Blue Cerebrovasc Dis 2013; 35 (suppl 3)1-854 737 742 Stroke prevention Cardiovascular Risk Profile and Outcomes of Canadian Patients Enrolled in the REduction of Atherothrombosis for Continued Health (REACH) Registry after 30 Months of Follow-up A.D. Bell1, R.J. Herman2, M.D. Hill3, J.A. Stewart4, J.F. Chiu5, D.L. Bhatt6, E.A. Cohen7 University of Toronto, Toronto, CANADA1, Unviersity of Calgary, Calgary, CANADA2, Univer-sity of Calgary, Calgary, CANADA3, , Toronto, CANADA4, University of Toronto, Toronto, CANA-DA5, Harvard University, Boston, USA6, University of Toronto, Toronto, CANADA7 Background: Previously presented data from the REduction of Atherothrombosis for Continued Health (REACH) Registry showed that symptomatic patients (those with coronary artery, cerebro-vascular, or peripheral artery disease) enrolled in Canada were significantly more likely to be at target levels for blood pressure and total cholesterol and to be using triple therapy (an antiplatelet agent, a statin, and either an angiotensin-converting enzyme inhibitor or angiotensin receptor block-er). We present 30±3 month follow-up data for symptomatic Canadian REACH patients and com-pare them with those enrolled in the US and rest of the world. Methods: At 30±3 months, medication use, clinical outcomes, hospitalizations, and vascular proce-dures were collected, and comparisons between Canada and the US and the rest of the world were conducted. Results: Of the 53,470 symptomatic patients enrolled at baseline, follow-up data were available for 39,552: 1626 from Canada, 9925 from the US, and 28,001 from the rest of the world. At 30±3 months, use of medication targeting risk factor control remained high in Canadian patients; triple therapy was used by 57.7% of symptomatic Canadian patients, 46.4% of US patients (P<0.001) and 39.9% of those enrolled elsewhere (P<0.001). The primary outcome of cardiovascular death, nonfa-tal myocardial infarction, or nonfatal stroke occurred in 7.8% of Canadian patients, versus 10.8% of US patients (P=0.0003) and 10.3% of patients enrolled in the rest of the world (P=0.0009). All indi-vidual outcomes were less frequent in Canada than in the US; only nonfatal stroke was less frequent in Canada compared with the rest of the world. Conclusions: Symptomatic Canadian patients enrolled in the REACH Registry showed higher utili-zation of proven risk-reducing medications over 30 months and had lower unadjusted vascular event rates compared with symptomatic patients enrolled elsewhere. Further study is necessary to deter-mine whether these differences in patterns of care and outcomes are due to variation in patient, phy-sician, or health care system related factors. 743 Stroke prevention Stroke awareness in the young Hungarian population: problems with utilization of web-based information F. Bari1, M. Pribojszki2, A. Toth3, E. Forczek4 University of Szeged, Faculty of Medicine, Department of Medical Physics and Informatics, Szeged, HUNGARY1, University of Szeged, Faculty of Medicine, Department of Medical Physics and Informatics, Szeged, HUNGARY2, University of Szeged, Faculty of Medicine, Department of Medical Physics and Informatics, Szeged, HUNGARY3, University of Szeged, Faculty of Medicine, Department of Medical Physics and Informatics, Szeged, HUNGARY4 Background: Although stroke mortality rate in Hungary has tapered off over the last few decades, it is still 3 times the European average. In response to this alarming statistic, there is a need for coor-dinated public action. The internet is an accessible medium for medical information transfer, which makes the Web a powerful vehicle for providing information and education materials. There are currently more than 300 websites in Hungarian related to stroke prevention, acute treatment, recov-ery and rehabilitation. We lack information, however, as to the efficiency with which the knowledge thus disseminated gets actually utilized. Methods: Our study included 325 high-school and university students. Fifteen structured, close-end-ed general knowledge questions regarding stroke (definition, symptoms and risk factors, treatment, information sources, and demographic factors) were used to assess stroke awareness. After com-pleting a questionnaire they were asked to use the internet to search individually for information on stroke where all the correct answers were available. After a 25-min search session they were asked to answer another stroke-related questionnaire (identical to the previous one). We recorded and ana-lyzed all their internet activity during the search period. Results: The students displayed a fair general knowledge on the basics of stroke but their results were not altered significantly following the 25-min search session (53±13% vs. 63±14%). Perfor-mance only significantly improved on questions regarding demographic facts. Most of the students used very simple search strategies and engines (mostly Google) and only the first 5-10 web pages listed were visited. Conclusion: Analysis of the most visited web pages (104-37 visits) revealed that although stroke-re-lated Hungarian web-based resources contain almost all the important and required information, the unsuitable structure, verbosity and lack of simplicity hinder their effective public utilization.


Karger_ESC London_2013
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