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Ahvaz Jundishapur University of Medical Sciences

بررسی تاثیر پیگیری فعال در مقایسه با پیگیری غیر فعال در بروز مجدد سکته مغزی ایسکمیک The Effect of Active and Non-Active Follow-up of Patients on the Recurrence of Ischemic Stroke

قمی فر, احمد (2017) بررسی تاثیر پیگیری فعال در مقایسه با پیگیری غیر فعال در بروز مجدد سکته مغزی ایسکمیک The Effect of Active and Non-Active Follow-up of Patients on the Recurrence of Ischemic Stroke. Post-Doctoral thesis, دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran,School of Medicine دانشکده پزشکی

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Abstract

Background: Stroke is the third cause of death in the US. Due to mortality and morbidity caused by stroke, it is a very important disease, and recurrent stroke increases the risk of both conditions. Atherosclerotic risk factors are the most common, and yet modifiable, risk factors for stroke. Therefore, stroke prevention should be focused on the treatment of these underlying causes of the disease. Despite the same medical treatments for this disease in various communities, the discernable difference in recurrent stroke in different studies (ranging from 3% to 23.2%) suggests this difference can be attributed to lack of appropriate control of modifiable risk factors for this condition in communities with higher incidence of stroke. Hence, the present study aimed at testing this hypothesis. Materials and Methods: In this randomized clinical trial study, 76 patients with ischemic stroke were assigned to two groups of active follow-up and non-active follow-up of risk factors. The subjects in the two groups were studied and compared with respect to control of risk factors and recurrent ischemic stroke at the beginning and end of the research. Results: The rates of recurrent stroke within 6 months from the beginning of the study in the active and non-active follow-up groups were 2.8% and 13.8%, respectively. In addition, the chances of recurrent stroke in the non-active follow-up group was 5 times more than the active follow-up group (OR=5, CI=95%). Conclusion: Active follow-up of patients after the first stroke leads to better control ischemic stroke risk factors reduces its recurrence rate. Keywords:

Item Type: Thesis (Post-Doctoral)
Keywords: Recurrent stroke, Active follow up, Non-Active Follow up, Risk factor
Subjects: R Medicine > RD Surgery
Divisions: Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User: آقای بهرام سوسنی غریب وند
Date Deposited: 23 Apr 2018 07:14
Last Modified: 23 Apr 2018 07:14
URI: http://eprints.ajums.ac.ir/id/eprint/12774

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