Másodlagos prevenciós gyakorlat ischaemiás stroke után: Dokumentációs folyamataudit

Translated title of the contribution: Secondary prevention following ischemic stroke: A documentational process audit

Miklós Török, László Mihálka, Sándor Rácz, I. Fekete, L. Csiba, D. Bereczki

Research output: Contribution to journalArticle

Abstract

INTRODUCTION - A previous stroke or a transient ischemic attack is an important risk factor for stroke, therefore measures for secondary prevention have great importance. Based on the results of multicenter randomized controlled trials guidelines for medical and surgical methods for secondary stroke prevention have been established in the last years. In our study - that can be considered a documentational process audit - we analyzed whether there was a change in the past 5 years in the documented recommendations for secondary stroke prevention in the discharge reports of patients with ischemic stroke. PATIENTS AND METHODS - The periods of examination were the first 3 months of 1995 and 2000. We reviewed the discharge reports of all patients discharged from the stroke unit with the diagnosis of ischemic stroke. We tabulated the history, the results of examinations, the condition of the patients at discharge, the stroke subtype, the indications and contraindications for antiplatelet and anticoagulant treatment and of carotid endarterectomy, and the recommended measure for secondary stroke prevention as documented in the discharge report. Data of 205 patients were analyzed. RESULTS - For the majority of patients medical treatment was recommended for secondary prevention. Only 5 patients were candidates for carotid endarterectomy. CONCLUSIONS - The documented practice of secondary stroke prevention significantly improved between 1995 and 2000: the recommendation of internationally accepted guidelines based on the results of randomized controlled trials are reflected better in the discharge reports of patients treated in 2000 (p = 0,0013).

Original languageHungarian
Pages (from-to)139-145
Number of pages7
JournalLege Artis Medicinae
Volume13
Issue number2
Publication statusPublished - Mar 2003

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Secondary Prevention
Stroke
Patient Discharge
Carotid Endarterectomy
Randomized Controlled Trials
Guidelines
Transient Ischemic Attack
Anticoagulants
History
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Másodlagos prevenciós gyakorlat ischaemiás stroke után : Dokumentációs folyamataudit. / Török, Miklós; Mihálka, László; Rácz, Sándor; Fekete, I.; Csiba, L.; Bereczki, D.

In: Lege Artis Medicinae, Vol. 13, No. 2, 03.2003, p. 139-145.

Research output: Contribution to journalArticle

Török, Miklós ; Mihálka, László ; Rácz, Sándor ; Fekete, I. ; Csiba, L. ; Bereczki, D. / Másodlagos prevenciós gyakorlat ischaemiás stroke után : Dokumentációs folyamataudit. In: Lege Artis Medicinae. 2003 ; Vol. 13, No. 2. pp. 139-145.
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