RESEARCH
IMPLEMENTATION
OF A STROKE RISK REDUCTION PROGRAM IN
A NEUROLOGY PRIVATE PRACTICE
(Presented
at the Annual Scientific Meeting of
the American Association for
Cardiovascular and Pulmonary
Rehabilitation, Phoenix, Arizona,
September 1999)
The
Challenge
-
Stroke is the third leading cause of
death in the United States. In
this country:
Stroke
accounts for about one of every 14.5
deaths.
On
average, someone suffers a stroke
every 53 seconds.
Each
year over 700,000 people suffer a new
or recurrent stroke.
About
4,400,000 stroke survivors are alive
today.
After
years of steady decline, the death
rate for stroke has leveled off and
may be increasing.
Total
direct and indirect costs for stroke
care total an estimated $40 billion.
-
Previous stroke is a major risk factor
for recurrent stroke:
Men
have a 42% chance of recurrent stroke
within five years of an initial stroke.
Women
have a 24% chance of recurrent stroke
within five years of an initial
stroke.
-
TIA is a strong predictor of stroke
risk:
35%
of people who experience a TIA have a
stroke within five years.
-
Carotid artery disease is associated
with a 300% increase in risk for
stroke.
Despite recognition of modifiable risk
factors for stroke and the
availability of well-known
treatments, recent evidence suggests
that sub-optimal control of risk
factors continues
to contribute to more than 700,000
strokes in the United States each
year.
A
Solution:
The
INTERxVENTUSA Stroke Risk
Reduction Program at the Neurological
Institute of Savannah
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