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ORIGINAL RESEARCH article

Front. Neurol.
Sec. Stroke
Volume 15 - 2024 | doi: 10.3389/fneur.2024.1488180
This article is part of the Research Topic Reviews in Preventative Health for Stroke and Education to Stroke Prevention View all 5 articles

Cognition and influencing factors of secondary prevention in patients with ischemic stroke 1 year after discharge in southwest China: a cross-sectional survey

Provisionally accepted
Xuemin Zhong Xuemin Zhong 1,2Li Li Li Li 1Qing Ye Qing Ye 3Jian Wang Jian Wang 2Lanying He Lanying He 2Changqing Li Changqing Li 1*
  • 1 Department of Neurology, Second Affiliated Hospital of Chongqing Medical University, Chongqing, China
  • 2 Chengdu Second People's Hospital, Chengdu, Sichuan Province, China
  • 3 Chengdu third people's hospital, chengdu, China

The final, formatted version of the article will be published soon.

    Although the risk of recurrent stroke is very high in patients with ischemic stroke (IS), the implementation of secondary prevention of IS has not received enough attention. Therefore, we aimed to investigate the cognition and compliance status of secondary prevention in patients with IS in southwest China and explore the factors affecting compliance with secondary prevention 1 year after discharge. We conducted a cross-sectional survey of patients with IS 1 year after discharge in southwest China through convenience sampling. Factors affecting the compliance of secondary prevention in patients with IS after discharge were analysed. A total of 1,041 patients were included in our study. Nearly one-third of patients did not follow secondary prevention measures according to the guidelines, and an improvement in lifestyle was even less likely. Living with or without children did not significantly affect patient compliance (odds ratio 1.11; 95% confidence interval 0.83-1.49; P=0.47). Furthermore, no significant differences were observed in the probability of treatment acceptance between patients experiencing one or two of the following conditions: hypertension, diabetes, and hyperlipidemia, and those with all three conditions. Thus,patients with IS have insufficient compliance with secondary prevention and there is a particular lack of emphasis on lifestyle improvement. Further interventions are needed to improve compliance with secondary prevention in patients with IS, especially patients with all three conditions of hypertension, diabetes, and hyperlipidemia.

    Keywords: ischemic stroke, Recurrence rate, Secondary Prevention, Patient Compliance, lifestyle

    Received: 29 Aug 2024; Accepted: 09 Dec 2024.

    Copyright: © 2024 Zhong, Li, Ye, Wang, He and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Changqing Li, Department of Neurology, Second Affiliated Hospital of Chongqing Medical University, Chongqing, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.