Stroke-Related Disease Comorbidity and Secondary Stroke Prevention Practices among Young Stroke Survivors

Gayenell S. Magwood, Brandi M. White, Charles Ellis

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Background: Although ischemic stroke incidence has been in decline over the past 60 years, the same has not been observed among individuals younger than 55 years. Recent reports have shown a substantial increase in young stroke incidence, yet little is known about young stroke survivors. Objective: The aim of this study was to examine the disease comorbidity profile and secondary prevention practices in stroke survivors younger than 50 years. Methods: This study used a retrospective data analysis of secondary stroke prevention practices among young stroke survivors using data from the 2015 National Health Interview Survey. Results: Approximately 57% of the sample reported having hypertension; 33%, high cholesterol; 13%, diabetes; and 7%, heart disease. In the past 12 months, more than 60% had seen a general doctor, neurologist, or specialist, and more than 75% were following low-dose aspirin advice or taking prescribed medications for blood pressure or cholesterol. Similarly, 84% had their blood pressure checked, and 66% had their cholesterol checked, but only 50% had a fasting test for their blood sugar in the past 12 months. Conclusions: Many young stroke survivors exhibit comorbid disease conditions that are similar to older stroke survivors. A large percentage are engaged in general chronic disease and secondary stroke prevention practices, yet less than two-thirds had seen a general doctor in the past 12 months. Primary care doctors and other health professionals are critical to the implementation of disease management strategies that consider their age, secondary stroke risk, expected life spans, and other issues that differ from older adult stroke survivors.

Original languageEnglish
Pages (from-to)296-301
Number of pages6
JournalJournal of Neuroscience Nursing
Volume49
Issue number5
DOIs
StatePublished - Oct 1 2017

Bibliographical note

Funding Information:
by a grant from the American Heart Focused Research Network Grant

Funding Information:
This work was supported by the American Heart Association Strategically Focused Research Network Grant.

Publisher Copyright:
Copyright © 2017 American Association of Neuroscience Nurses.

Keywords

  • comorbidity
  • disease
  • nursing
  • secondary stroke prevention
  • stroke

ASJC Scopus subject areas

  • Surgery
  • Endocrine and Autonomic Systems
  • Clinical Neurology
  • Medical–Surgical

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