London, United Kingdom 2013 Poster Session Blue Cerebrovasc Dis 2013; 35 (suppl 3)1-854 747 760 Stroke prevention The effect of standardised post-stroke care and motivational interviewing on secondary pre-vention and cardiovascular lifestyle targets after ischemic stroke and TIA - a prospective co-hort study. S.M. Van Schaik1, H.M. Boss2, W.M.J. Bosboom3, H.C. Weinstein4, M. Moonen5, R.M. Van den Berg-Vos6 Sint Lucas Andreas Ziekenhuis, Amsterdam, THE NETHERLANDS1, Sint Lucas Andreas Ziek-enhuis, Amsterdam, THE NETHERLANDS2, Sint Lucas Andreas Ziekenhuis, Amsterdam, THE NETHERLANDS3, Sint Lucas Andreas Ziekenhuis, Amsterdam, THE NETHERLANDS4, Sint Lu-cas Andreas Ziekenhuis, Amsterdam, THE NETHERLANDS5, Sint Lucas Andreas Ziekenhuis, Am-sterdam, THE NETHERLANDS6 Background Patients with an ischemic stroke or transient ischemic attack (TIA) have an increased risk of recur-rent stroke, myocardial infarction and vascular death. Despite of compelling evidence for the effec-tiveness of secondary prevention strategies after ischemic stroke and TIA secondary prevention in the daily practice of stroke care is suboptimal. Improving adherence to guidelines and cardiovascu-lar lifestyle changes by standardised post-stroke care and motivational interviewing might be a pow-erful way to increase effectiveness of secondary stroke prevention. Methods In 2010 seventy patients were included in a prospective cohort study to determine the effect of stan-dardised post-stroke care and motivational interviewing on secondary prevention and cardiovascular lifestyle targets after ischemic stroke and TIA. Data were collected at baseline and one year after the index event. The primary outcome measure was the percentage of patients who achieved the com-bined targets for use of antithrombotics, blood pressure <140/90 mmHg, and LDL-cholesterol <2.5 mmol/L after one year (optimal care). Secondary endpoints were the individual components of the primary endpoint and cardiovascular lifestyle targets. Results Baseline characteristics of all patients are shown in table 1. Fifty-seven patients (81%) complet-ed the follow up period of one year. After one year 75% reached the primary endpoint (table 2), 98% used antithrombotics, 88% reached the endpoint of a blood pressure <140/90 mmHg and 90% reached the endpoint of a LDL cholesterol <2,5 mmol/L. In addition, adherence to guidelines for smoking, waist circumference, diet and medication adherence were significantly improved during follow up. Conclusion In patients after ischemic stroke or TIA standardised post-stroke care and motivational interviewing seems to be associated with an improvement in secondary prevention and cardiovascular lifestyle targets.
Karger_ESC London_2013
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