Prevalence and Control of Stroke Risk Factors in a South Florida Population

2012 ◽  
Vol 122 (12) ◽  
pp. 734-741 ◽  
Author(s):  
John A. Morren ◽  
Efrain D. Salgado
Keyword(s):  
Risk Factors ◽  
Stroke Risk ◽  
South Florida ◽  
Stroke Risk Factors ◽  
And Control ◽  
Florida Population

Abstract 3391: FAST Stroke Educational Program for Middle School Students

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Elaine T Miller ◽  
Keith King ◽  
Rosemary Miller ◽  
Roberta Lee
Keyword(s):  
Risk Factors ◽  
Middle School ◽  
Self Efficacy ◽  
Stroke Risk ◽  
Warning Signs ◽  
Control School ◽  
School Students ◽  
Stroke Risk Factors ◽  
And Control

Significance and Purpose: Given the continuing escalation of obesity and other major modifable stroke risk factors in American children, now more than ever the testing of the efficacy of stroke educational programs remains a priority. The specific aim of this study was to determine if the 9 month FAST Stroke Prevention Educational Program for Middle School Students leads to a significantly greater increase in stroke knowledge (signs/symptoms, risk factors), self-efficacy, treatment seeking behaviors (calling 911), and stroke risk reduction behavior when compared to a control school. A secondary purpose was to obtain comparison data (intervention and control school) regarding blood pressure, waist circumference, and body mass index. Methodology: The study design is quasi-experimental with an intervention and control middle school that each receives the initial program pretest and long-term posttest. Both schools are in the same city and serve primarily African American students ages 10-14. Instruments to measure the key study variables have established reliability, Chronbach alpha of .85 or higher, and content validity. The FAST Program framed within Social Cognitive Theory, spanned 9 months consisting of 6 modules that included active learning experiences, involvement of multiple stakeholders (school, parents, and community), and senior nursing students in the program implementation. Findings: Seventy-seven students (54% male, 46% female) received the FAST Program and 101 students were in the control school (45% male, 55% female). Students who received the FAST Program knew significantly more of the warning signs of stroke than students not receiving the program. No significant difference between the control and intervention school occurred pertaining to knowledge of stroke risk factors at pretest or long-term posttest at 9 months. Compared to pretest scores, students receiving FAST scored significantly higher at posttest and long-term posttest on self-efficacy. Of those in the intervention group who had identified a modifiable stroke risk reduction objective (e.g., increase exercise, eat a more healthy diet, stop smoking), 42% reported achieving their objective; while another 19% reported making progress. Although BMIs and blood pressures improved in students receiving FAST, there were not any significant improvements between the two schools. Conclusions and Practice Implications: The FAST Program improved the convenient sample of African American students’ knowledge of stroke warning signs and self-efficacy. Plus, many students were able to achieve their predetermined modifiable stroke risk factors in the FAST Program. Further program improvements are recommended, but it is clear that active involvement of parents, school and community stakeholders are essential.

scholarly journals Study on risk weights of different stroke risk factors

2018 ◽  
Vol 189 ◽  
pp. 10009
Author(s):  
Yiyan Zhang ◽  
Yi Xin ◽  
Hongyu Kang ◽  
Weiqi Lv ◽  
Qin Li
Keyword(s):  
Risk Factors ◽  
Stroke Risk ◽  
Weight Coefficient ◽  
High Risk Group ◽  
Common Disease ◽  
Stroke Risk Factors ◽  
Cumulative Score ◽  
Traditional Risk Factors ◽  
Score Model ◽  
And Control

Stroke is a common disease that seriously endangers human health and life. According to the number of eight traditional risk factors of stroke to determine the stroke high-risk group, there are still some limitations. The study aims to explore the risk weights of different stroke risk factors. The research data used in this study was collected by the stroke prevention and control project. The study population included adults aged ≥40 years residing in 16 provinces, municipalities and autonomous regions throughout China. 985, 325 subjects were included in the study, 15,835 stroke patients (1.65%) and 941,490 without stroke (98.35%). The Cumulative score model was applied to explore the stroke risk factors and their risk weights based on Logistic regression. From high to low, the risk of eight traditional factors is hypertension, family history of stroke, atrial fibrillation, diabetes mellitus, dyslipidemia, obvious weight, lack of physical activity and smoking. The weight coefficient of hypertension is about 7.7 times that of smoking.

scholarly journals Hispanic Secondary Stroke Prevention Initiative Design: Study Protocol and Rationale for a Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Olveen Carrasquillo ◽  
BreAnne Young ◽  
Stuti Dang ◽  
Orieta Fontan ◽  
Natalie Ferras ◽  
...  
Keyword(s):  
Risk Factors ◽  
Randomized Controlled Trial ◽  
Stroke Prevention ◽  
Stroke Risk ◽  
Controlled Trial ◽  
Text Messages ◽  
South Florida ◽  
Secondary Stroke Prevention ◽  
Stroke Risk Factors ◽  
Randomized Controlled

BACKGROUND Hispanic-Latino populations face a disproportionate stroke burden and are less likely to have sufficient control over stroke risk factors in comparison with other ethnic populations. A promising approach to improving chronic health outcomes has been the use of community health workers (CHWs). OBJECTIVE The objective of this randomized controlled trial is to evaluate the effectiveness of a CHW intervention among Latino patients at risk of recurrent stroke. METHODS The Hispanic Secondary Stroke Prevention Initiative (HiSSPI) is a randomized clinical trial of 300 Latino participants from South Florida who have experienced a stroke within the last 5 years. Participants randomized into the CHW intervention arm receive health education and assistance with health care navigation and social services through home visits and phone calls. The intervention also includes a mHealth component in which participants also receive daily text messages (short message service). The primary outcome is change in systolic blood pressure at 12 months. Other secondary outcomes include changes in low-density lipoprotein, glycated hemoglobin, and medication adherence. RESULTS Study enrollment began in 2015 and will be completed by the end of 2018. The first results are expected to be submitted for publication in 2020. CONCLUSIONS HiSSPI is one of the first randomized controlled trials to examine CHW-facilitated stroke prevention and will provide rigorous evidence on the impact of CHWs on secondary stroke risk factors among Latino individuals who have had a stroke. CLINICALTRIAL ClinicalTrials.gov NCT02251834; https://clinicaltrials.gov/ct2/show/NCT02251834 (Archived by WebCite at http://www.webcitation.org/72DgMqftq) INTERNATIONAL REGISTERED REPOR RR1-10.2196/11083

scholarly journals Knowledge of stroke risk factors amongst black diabetic, hypertensive and stroke patients

2003 ◽  
Vol 59 (4) ◽  
Author(s):  
G. Bogoshi ◽  
A. Stewart ◽  
L. Hale ◽  
V. Fritz
Keyword(s):  
Risk Factors ◽  
Stroke Risk ◽  
Control Group ◽  
Stroke Patients ◽  
Chi Square ◽  
Stroke Risk Factors ◽  
Black Patients ◽  
Level Of Significance ◽  
And Control ◽  
Structured Questionnaire

The objective of this study was to assess and compare theknowledge of black patients diagnosed with hypertension, diabetes and stroke about the risk factors for stroke.  Four groups made up of 33 subjects (hypertensive, diabetic, stroke and control group) were interviewed using open-ended questions and a structured questionnaire. Qualitative coding, frequencies and proportions were used to determine their knowledge.  Groups were compared with respect to percentage knowledge using the chi-square statistic at a 0.05 level of significance.  Stress was mentioned as the most important risk factor in all groups.  Although identification of stroke risk factors was  inadequate, the diabetic group was found to be significantly better in  identifying some of the risk factors (salt - p =0,05; sugar - p = 0,001; fat - p = 0,004; moderate smoking - p = 0,05; weight - p = 0,002)

scholarly journals 947. Stroke demographics and risk factor profile in HIV infected individuals in Florida

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S506-S506
Author(s):  
Folusakin Ayoade ◽  
Dushyantha Jayaweera
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Clinical Research ◽  
Stroke Risk ◽  
Research Network ◽  
Categorical Variables ◽  
People Living With Hiv ◽  
Risk Factor Profile ◽  
Stroke Risk Factors ◽  
Living With Hiv

Abstract Background The risk of ischemic stroke (IS) is known to be higher in people living with HIV (PLWH) than uninfected controls. However, information about the demographics and risk factors for hemorrhagic stroke (HS) in PLWH is scant. Specifically, very little is known about the differences in the stroke risk factors between HS and IS in PLWH. The goal of this study was to determine the demographics and risk factor differences between HS and IS in PLWH. Methods We retrospectively analyzed the demographic and clinical data of PLWH in OneFlorida (1FL) Clinical Research Consortium from October 2015 to December 2018. 1FL is a large statewide clinical research network and database which contains health information of over 15 million patients, 1240 clinical practices, and 22 hospitals. We compared HS and IS based on documented ICD 9 and 10 diagnostic codes and extracted information about sociodemographic data, traditional stroke risk factors, Charlson comorbidity scores, habits, HIV factors, diagnostic modalities and medications. Statistical significance was determined using 2-sample T-test for continuous variables and adjusted Pearson chi square for categorical variables. Odds ratio (OR) and 95% confidence intervals (CI) between groups were compared. Results Overall, from 1FL sample of 13986 people living with HIV, 574 subjects had strokes during the study period. The rate of any stroke was 18.2/1000 person-years (PYRS). The rate of IS was 10.8/1000 PYRS while the rate of HS was 3.7/1000 PYRS, corresponding to 25.4% HS of all strokes in the study. Table 1 summarizes the pertinent demographic and risk factors for HS and IS in PLWH in the study. Table 1: Summary of pertinent demographic and risk factors for hemorrhagic and ischemic strokes in people living with HIV from One Florida database Conclusion In this large Floridian health database, demographics and risk factor profile differs between HS and IS in PLWH. Younger age group is associated with HS than IS. However, hypertension, hyperlipidemia and coronary artery disease are more likely to contribute to IS than HS in PLWH. Further research is needed to better understand the interplay between known and yet unidentified risk factors that may be contributing to HS and IS in PLWH. Disclosures All Authors: No reported disclosures

The Burden of Stroke in Pakistan

2008 ◽  
Vol 3 (4) ◽  
pp. 293-296 ◽  
Author(s):  
Bhojo A. Khealani ◽  
Mohammad Wasay
Keyword(s):  
Risk Factors ◽  
Stroke Risk ◽  
Case Series ◽  
Stroke Care ◽  
Poor Control ◽  
Stroke Incidence ◽  
Treatment Practices ◽  
Stroke Risk Factors ◽  
The Subject ◽  
Artery Disease

Epidemiologic literature on stroke burden, patterns of stroke is almost non existent from Pakistan. However, several hospital-based case series on the subject are available, mainly published in local medical journals. Despite the fact that true stroke incidence and prevalence of stroke in Pakistan is not known, the burden is assumed to be high because of highly prevalent stroke risk factors (hypertension, diabetes mellitus, coronary artery disease, dyslipidemia and smoking) in the community. High burden of these conventional stroke risk factors is further compounded by lack of awareness, poor compliance hence poor control, and inappropriate management/treatment practices. In addition certain risk factors like rheumatic valvular heart disease may be more prevalent in Pakistan. We reviewed the existing literature on stroke risk factors in community, the risk factor prevalence among stroke patients, patterns of stroke, out come of stroke, availability of diagnostic services/facilities related to stroke and resources for stroke care in Pakistan.

scholarly journals Knowledge of Stroke Risk Factors among Stroke Survivors in Nigeria

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Grace Vincent-Onabajo ◽  
Taritei Moses
Keyword(s):  
Risk Factors ◽  
Stroke Risk ◽  
Tertiary Education ◽  
Effective Means ◽  
Descriptive Statistics ◽  
Stroke Survivors ◽  
Questionnaire Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Stroke Risk Factors

Background. Knowledge of stroke risk factors is expected to reduce the incidence of stroke—whether first-ever or recurrent. This study examined knowledge of stroke risk factors and its determinants among stroke survivors.Methods. A cross-sectional survey of consenting stroke survivors at two physiotherapy facilities in Nigeria was carried out. Sociodemographic and clinical data were obtained and knowledge of stroke risk factors (defined as the ability to mention at least one correct risk factor) was assessed using open-ended questionnaire. Data were treated with descriptive statistics and logistic regression analysis.Results. Sixty-nine stroke survivors (male = 72.5%; mean ± SD age =49.7±10.6years) participated in the study. Thirty-four (49.4%) participants had knowledge of stroke risk factors. Only educational level was significantly associated with knowledge and participants with tertiary educational qualification were about 48 times (odds ratio = 48.5; CI = 7.6–309.8;P<0.0001) more likely to be knowledgeable than those with no education.Conclusion. Less than half of the participants had knowledge of stroke risk factors. Participants with tertiary education were significantly more knowledgeable than those with lower educational qualifications. Effective means of educating stroke survivors on stroke risk factors should be identified and adopted.

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