title: [Primary and secondary cardiovascular prevention results in patients with stroke: relapse risk and associated survival (Ebrictus study)].
abstract: BACKGROUND
  The prevalence and cardiovascular risk factors control (CVRF) are determining to suffer a stroke and its relapse which arise the mortality and disability.
  
  
  OBJECTIVE
  To estimate the incidence of the first episode of ictus and describe the results in primary and secondary cardiovascular prevention.
  
  
  METHODS
  Observational and prospective study of a fix cohort of 130,649 people, 15-90-year-old assigned to participants centers between 01/04/2006 and 31/03/2008. Community based register. Analyses were performed with the use of time-to-event methods, included Cox's multivariate on survival, risk of it's relapse; the CVRF diagnosed and it's relative risk (RR); cardiovascular risk.
  
  
  RESULTS
  553 patients were enrolled (48,8% female), average age 73.3 ± 11.6 years with the first episode of stroke. After the episode, the hypertension (74.9% vs 88.7%), atrial fibrillation (9.9% vs 16%) and dislipemia (37.8% vs 49.8%) increased significantly as well its control. The 47% (95% CI = 42.8-51.2) of the cases had high risk of relapsing. In the 15.7% of the patients happened relapse of cardiovascular event, 48.3% of which were stroke. The main predictors variables were history of recurrent cardiovascular event (RR = 6.7; 95% CI = 2.2-21.7) and the aging (RR = 1,08; 95% CI = 1.01-1.2).
  
  
  CONCLUSIONS
  The cardiovascular secondary prevention seems to be more effective both in CVRF's detection and its control and is extremely important to get better results of survival.
authors.affiliation: Equipo de Atención Primaria Tortosa 1-est, Servicio de Atención Primaria Terres de l'Ebre, Institut Català de la Salut, Tortosa, Tarragona, España. jlclua@telefonica.net
authors.forename: Josep Ll
authors.initials: JL
authors.lastname: Clua-Espuny
authors.forename: Josep Ll
authors.initials: JL
authors.lastname: Piñol-Moreso
authors.forename: Vicente F
authors.initials: VF
authors.lastname: Gil-Guillén
authors.forename: Domingo
authors.initials: D
authors.lastname: Orozco-Beltrán
authors.forename: Anna
authors.initials: A
authors.lastname: Panisello-Tafalla
authors.forename: Jorgina
authors.initials: J
authors.lastname: Lucas-Noll
authors.forename: M Lluïssa
authors.initials: ML
authors.lastname: Queralt-Tomás
authors.forename: Roger
authors.initials: R
authors.lastname: Pla-Farnós
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012008:Recurrence; D012042:Registries; D012307:Risk Factors; D020521:Stroke / Q000401:mortality* / Q000517:prevention & control*; D015996:Survival Rate; D055815:Young Adult