Prescription Pattern in the Management of Secondary Prevention of Stroke in Post Stroke Patients

Abstract

Pregnant and breast-feeding patients, those with severe liver/renal insufficiency, those on long term follow up prior to the commencement of the study or patients and /or their caregivers unwilling to provide written informed consent were excluded. Relevant medical data were obtained by personal interview of communication with patients and/or their caregivers, examination of electronic medical records and assessment using validated questionnaires. Secondary stroke preventionPatients were evaluated on their first visit after discharge (7±3 days) for baseline knowledge and awareness regarding the disease using locally prepared validated questionnaire and medication adherence using Morisky Medication Adherence 8item scale. [10][11][12] and reassessed during follow up visit. The patients were provided with stroke education

Medication self-management interventions for persons with stroke: A scoping review

“…Characteristics of included articles are displayed in Table 1 . The majority of the included studies used a quantitative study design (n = 53) [ 34 – 86 ]. There were two mixed methods studies [ 87 , 88 ] and one qualitative study [ 89 ].…”

“…The most common quantitative study designs included randomized controlled trials (n = 31) and prospective studies (n = 11). Most articles (n = 53) were published after 2010 [ 34 – 61 , 63 – 66 , 68 – 70 , 72 – 89 ], with only three being published prior [ 62 , 67 , 71 ]. Studies were conducted across 20 different countries, with the majority conducted in the United States (n = 14) [ 38 , 42 – 45 , 50 , 57 , 59 , 67 , 74 , 81 – 83 , 88 ] and China (n = 11) [ 40 , 46 , 73 , 76 – 80 , 84 – 86 ].…”

“…Studies were conducted across 20 different countries, with the majority conducted in the United States (n = 14) [ 38 , 42 – 45 , 50 , 57 , 59 , 67 , 74 , 81 – 83 , 88 ] and China (n = 11) [ 40 , 46 , 73 , 76 – 80 , 84 – 86 ]. Other countries included the United Kingdom (n = 4) [ 63 , 64 , 69 , 72 ], South Korea (n = 2) [ 55 , 56 ], Australia (n = 2) [ 41 , 65 ], Belgium (n = 2) [ 54 , 75 ], Germany (n = 2) [ 49 , 60 ], Ghana (n = 2) [ 68 , 89 ], Hong Kong (n = 2) [ 70 , 71 ], India (n = 2) [ 34 , 39 ], Malaysia (n = 2) [ 35 , 87 ], New Zealand (n = 2) [ 36 , 61 ], Pakistan (n = 2) [ 52 , 53 ], Austria (n = 1) [ 47 ], Denmark (n = 1) [ 48 ], France (n = 1) [ 37 ], Israel (n = 1) [ 62 ], Japan (n = 1) [ 66 ], Thailand (n = 1) [ 58 ], and Turkey (n = 1) [ 51 ].…”

“…The sample sizes varied, ranging from 2 participants to 5,882 participants (median = 174; IQR = 202). The majority of articles reported the sex (n = 32) [ 34 , 38 , 41 , 43 – 49 , 52 , 53 , 56 , 57 , 59 , 61 , 65 , 66 , 68 – 74 , 77 – 79 , 84 – 86 , 88 ] or gender (n = 19) [ 35 , 37 , 39 , 40 , 42 , 51 , 54 , 55 , 58 , 60 , 62 , 63 , 75 , 76 , 80 – 83 , 87 ] of participants, but no articles reported both sex and gender. Level of education was reported by 29 articles [ 35 , 36 , 39 , 42 , 45 , 47 , 50 – 53 , 55 , 58 , 59 , 62 , 68 , 70 , 71 , 73...…”

“…A component of medication self-management was the primary focus in 13 studies [ 39 , 49 , 52 , 62 – 64 , 66 , 67 , 72 , 73 , 78 , 81 , 86 ], with the majority (n = 43) including it as a part of a larger intervention or as an outcome measure. Two-thirds of the interventions consisted of multiple components (n = 42) [ 34 , 35 , 38 – 48 , 51 – 54 , 56 – 60 , 62 – 65 , 67 – 74 , 77 , 79 , 82 – 85 , 87 , 88 ], while the other third were stand-alone interventions (n = 14) [ 36 , 37 , 49 , 50 , 55 , 61 , 66 , 75 , 76 , 78 , 80 , 81 , 86 , 89 ]. The multicomponent interventions consisted of a combination of the following: education, counseling or coaching, workshops, text reminders, follow-up discussions, information materials, health assessments, referrals or connections to healthcare providers, support services, goal setting, and medication reviews.…”