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A Program to Improve Secondary Stroke Prevention: The Colorado Neurological Institute Stroke Preventing Recurrence of Thromboembolic Events Through Coordinated Treatment Program

Menard, Michelle M.; Smith, Don B.; Taormina, Cristina

Journal of Neuroscience Nursing: August 2011 - Volume 43 - Issue 4 - p 199-204
doi: 10.1097/JNN.0b013e3182212a83

ABSTRACT The key to secondary stroke prevention often lies in improved control of traditional stroke risk factors. Studies have shown that there is an evidence-practice gap, for both physicians and patients, when it comes to adhering to national stroke prevention guidelines. We developed a program to reinforce stroke prevention messages for 1 year after a patient's ischemic stroke or transient ischemic attack. Our results show encouraging improvement in our patients' adherence to treatment guidelines for 1 year after the event, as well as a reduction in recurrent strokes as compared with the number expected.

Questions or comments about this article may be directed to Michelle M. Menard, MA, at She is the program manager at the Colorado Neurological Institute, Englewood, CO.

Don B. Smith, MD, is the president of the Medical Advisory Board at the Colorado Neurological Institute, Englewood, CO.

Cristina Taormina, BS, is the program coordinator at the Colorado Neurological Institute, Englewood, CO.

© 2011 American Association of Neuroscience Nurses