Authors: (including presenting author): :
Hou J, Ko SH, Li YC, Chen XR
Affiliation: :
Department of Family Medicine and General Outpatient Clinics, Kowloon Central Cluster of Hospital Authority, Hong Kong
Introduction: :
Optimal control of modifiable cardiovascular disease risk factors for patients with stroke is essential to prevent further ischemic events. The Post-Stroke Special Clinic (PSSC) was established in the Department of Family Medicine and General Outpatient Clinics of Kowloon Central Cluster in 2009 to strengthen the collaboration between primary and secondary care for stroke management in the Hospital Authority of Hong Kong.
Objectives: :
The aim of this study was to evaluate the performance of the PSSC, a public primary care setting run by family specialists, by testing the control of blood pressure, low density lipoprotein, haemoglobin A1c if diabetic and smoking, among patients who had stroke and follow-up in PSSC.
Methodology: :
A retrospective single arm pre-post study was conducted among Chinese ischemic stroke patients who attended PSSC from 1st January, 2015 to 31st December, 2018 and had follow-up till one year after last incidence of stroke.
Result & Outcome: :
At one year after last incidence of stroke, there were significant decrease in blood pressure, low density lipoprotein, haemoglobin A1c and the proportion of smokers compared with baseline (all P< 0.05). There were 19 out of 326 cases had recurrent stroke within one year, yielding an annual recurrence rate of 5.8%.
Findings of this study underlined the positive role of primary care on stroke management.
