| Does telephone follow-up improve blood pressure after minor stroke or TIA? | |
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MedLine Citation:
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PMID: 20667838 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: hypertension is a common risk factor for stroke/transient ischaemic attack (TIA) and there is good evidence that blood pressure (BP) control prevents recurrent stroke. We investigated whether telephone follow-up (TFU) improved risk factor management in hypertensive patients after stroke/TIA. METHODS: we conducted a randomised controlled trial and assigned hypertensive patients within 1 month of stroke or TIA to receive usual care (n = 27) or usual care plus regular TFU (n = 29). Primary outcome was the difference in 12 h ambulatory systolic BP change from baseline to 6 months (DeltaSBP) in both groups. TFU at 7 days, 1, 2 and 4 months included patient-focussed education and goal setting. RESULTS: mean baseline BP was 145/83 mm Hg (standard deviation (SD) 21/14). There was no significant difference in DeltaSBP over 6 months with TFU. Median DeltaSBP was 0 mm Hg (interquartile range 19.5) in the TFU group and 3.0 mm Hg (20) fall in the usual care group (P = 0.29). Post hoc analysis showed that statin use increased from baseline to 6 months (P = 0.02) and cholesterol was significantly lower at 6 months in all patients (mean reduction 0.95 mmol/l; P < 0.001). CONCLUSION: our study found TFU that promoted patient-led management of risk factors did not improve BP control over 6-month follow-up in primary care after stroke/TIA. |
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Authors:
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Katja Adie; Martin A James |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2010-07-27 |
Journal Detail:
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Title: Age and ageing Volume: 39 ISSN: 1468-2834 ISO Abbreviation: Age Ageing Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-18 Completed Date: 2010-11-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0375655 Medline TA: Age Ageing Country: England |
Other Details:
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Languages: eng Pagination: 598-603 Citation Subset: IM |
Affiliation:
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Care of the Elderly Department, Royal Cornwall Hospital, Truro, UK. katja.adie@rcht.cornwall.nhs.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Blood Pressure / drug effects Blood Pressure Monitoring, Ambulatory Follow-Up Studies Humans Hypertension / diagnosis, drug therapy*, epidemiology Ischemic Attack, Transient / epidemiology, prevention & control* Medication Adherence* Middle Aged Primary Health Care / methods Recurrence / prevention & control Risk Factors Risk Reduction Behavior Stroke / epidemiology, prevention & control* Telephone* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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