医学
冲程(发动机)
介绍
心房颤动
生活质量(医疗保健)
重症监护医学
糖尿病
血脂异常
家庭医学
内科学
物理疗法
护理部
机械工程
工程类
内分泌学
作者
Walter N. Kernan,Anthony J. Viera,Sandra A. Billinger,Dawn M. Bravata,Susan Stark,Scott E. Kasner,Louis Kuritzky,Amytis Towfighi
出处
期刊:Stroke
[Ovid Technologies (Wolters Kluwer)]
日期:2021-07-15
卷期号:52 (9): e558-e571
被引量:75
标识
DOI:10.1161/str.0000000000000382
摘要
Primary care teams provide the majority of poststroke care. When optimally configured, these teams provide patient-centered care to prevent recurrent stroke, maximize function, prevent late complications, and optimize quality of life. Patient-centered primary care after stroke begins with establishing the foundation for poststroke management while engaging caregivers and family members in support of the patient. Screening for complications (eg, depression, cognitive impairment, and fall risk) and unmet needs is both a short-term and long-term component of poststroke care. Patients with ongoing functional impairments may benefit from referral to appropriate services. Ongoing care consists of managing risk factors such as high blood pressure, atrial fibrillation, diabetes, carotid stenosis, and dyslipidemia. Recommendations to reduce risk of recurrent stroke also include lifestyle modifications such as healthy diet and exercise. At the system level, primary care practices can use quality improvement strategies and available resources to enhance the delivery of evidence-based care and optimize outcomes.
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