title: [Compliance with recommendations in secondary prevention of stroke in primary care].
abstract: OBJECTIVE
  Knowing compliance with secondary prevention recommendations of stroke in primary care and to identify factors associated with compliance.
  
  
  METHODS
  Multi-centre cross-sectional.
  
  
  METHODS
  Health primary care centres in a metropolitan area (944,280 inhabitants).
  
  
  METHODS
  Patients aged 18years and over with ischemic brain disease diagnosis prior to 6months before the study.
  
  
  METHODS
  Clinical history records of demographic variables, risk factors and cardiovascular comorbidity, drugs, blood pressure values (BP), LDL-cholesterol and medical visits by doctor and nurses after the event. Good adherence was considered when BP <140/90 mmHg, LDL-cholesterol <100 mg/dL, smoking abstention and preventive drugs prescription (anti-platelet/anticoagulants, statins and angiotensin-converting-enzyme inhibitors/angiotensin-receptor-antagonists or diuretics) during the last 18months.
  
  
  RESULTS
  A total of 21,976 patients, mean age 73.12 years (SD: 12.13), 48% women, 72.7% with stroke. Co-morbidity: hypertension 70.8%, dyslipidemia 55.1%, DM 30.9%, atrial fibrillation 14.1%, ischemic heart disease 13.5%, chronic renal failure 12.5%, heart failure 8.8%, peripheral arterial disease 6.2%, dementia 7.8%. No record was found for smoking in 3.7%, for BP in 3.5% and for LDL in 6.5%. Optimal control: abstention smoking in 3.7%, BP <140/90 in 65.7% and LDL <100 mg/dL in 41.0%.
  
  
  METHODS
  86.2% anti-platelet/anticoagulants, 61.3% statins and 61.8% angiotensin-converting-enzyme inhibitors, angiotensin-receptor-antagonists or diuretic. Registration and risk factors control was higher in 66-79years aged and lower in 18-40years aged.
  
  
  CONCLUSIONS
  The implementation of clinical guidelines recommendations for stroke prevention in primary care must be improved, especially among younger population. Organizational changes and more active involvement by professionals and strategies against therapeutic inertia must be taken.
authors.affiliation: ABS Sant Boi Camps Blancs, SAP Baix Llobregat Centre, DAP Costa de Ponent, Institut Català de la Salut, Sant Boi de Llobregat, Barcelona, España. Electronic address: carmetamayo@gmail.com.
authors.forename: Carmen
authors.initials: C
authors.lastname: Tamayo-Ojeda
authors.affiliation: DAP Costa de Ponent, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, España.
authors.forename: Neus
authors.initials: N
authors.lastname: Parellada-Esquius
authors.affiliation: ABS Florida Sud, SAP Delta de Llobregat, DAP Costa de Ponent, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, España; Grupo de estudio REGICOR, Epidemiología y Genética Cardiovascular, IMIM (Instituto Hospital del Mar de Investigaciones Médicas), Barcelona, España.
authors.forename: Betlem
authors.initials: B
authors.lastname: Salvador-González
authors.affiliation: ABS Martorell, SAP Alt Penedès-Garraf-Nord, DAP Costa de Ponent, Institut Català de la Salut, Martorell, Barcelona, España.
authors.forename: Pilar Ángeles
authors.initials: PÁ
authors.lastname: Oriol-Torón
authors.affiliation: ABS Sant Boi Vinyets, SAP Baix Llobregat Centre, DAP Costa de Ponent, Institut Català de la Salut, Sant Boi de Llobregat, Barcelona, España.
authors.forename: M Dolores
authors.initials: MD
authors.lastname: Rodríguez-Garrido
authors.affiliation: ABS Sant Boi Montclar, SAP Baix Llobregat Centre, DAP Costa de Ponent, Institut Català de la Salut, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Dolores
authors.initials: D
authors.lastname: Muñoz-Segura
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D055502:Secondary Prevention / Q000592:standards*; D020521:Stroke / Q000517:prevention & control*; D055815:Young Adult
keywords: Accidente cerebrovascular; Atención primaria; Cerebral infarction; Ictus; Prevención secundaria; Primary health care; Secondary prevention; Stroke