BACKGROUND: Whether secondary prevention of atherosclerosis is performed as frequently after cerebrovascular events (stroke or transient ischemic attack) as after cardiac events (myocardial infarction or angina) is unknown. METHODS: We compared the receipt of six secondary preventive care processes among 943 persons with a prior cardiac event to that among 523 persons with a prior cerebrovascular event using a representative sample of the US population. RESULTS: The cardiac event group had higher rates for three care processes: antithrombotic medication use in the past year (83-77%, p = 0.01), ever advised to exercise more (66-52%, p < 0.001), and ever advised to eat fewer high-fat or high-cholesterol foods (70-54%, p < 0.001). CONCLUSIONS: Compared to the cardiac event group, the quality of care of the cerebrovascular event group is lower and should be improved.
BACKGROUND: Whether secondary prevention of atherosclerosis is performed as frequently after cerebrovascular events (stroke or transient ischemic attack) as after cardiac events (myocardial infarction or angina) is unknown. METHODS: We compared the receipt of six secondary preventive care processes among 943 persons with a prior cardiac event to that among 523 persons with a prior cerebrovascular event using a representative sample of the US population. RESULTS: The cardiac event group had higher rates for three care processes: antithrombotic medication use in the past year (83-77%, p = 0.01), ever advised to exercise more (66-52%, p < 0.001), and ever advised to eat fewer high-fat or high-cholesterol foods (70-54%, p < 0.001). CONCLUSIONS: Compared to the cardiac event group, the quality of care of the cerebrovascular event group is lower and should be improved.
Authors: Eric M Cheng; William E Cunningham; Amytis Towfighi; Nerses Sanossian; Robert J Bryg; Thomas L Anderson; Jeffrey J Guterman; Sandra G Gross-Schulman; Sylvia Beanes; Andrea S Jones; Honghu Liu; Susan L Ettner; Jeffrey L Saver; Barbara G Vickrey Journal: Circ Cardiovasc Qual Outcomes Date: 2011-03
Authors: Sheena E Ramsay; Peter H Whincup; S G Wannamethee; Olia Papacosta; Lucy Lennon; Mary C Thomas; Richard W Morris Journal: J Public Health (Oxf) Date: 2007-06-21 Impact factor: 2.341