US national survey of physician practices for the secondary and tertiary prevention of ischemic stroke : design, service availability, and common practices.
The purposes of this national survey were to gather information about physicians'stroke prevention practice patterns and their attitudes and beliefs regarding secondary and tertiary stroke prevention strategies.
Methods We conducted a national survey of stroke prevention practices among a stratified random sample of 2000 physicians drawn from the American Medical Association's Physician Masterfile.
The survey focused on the availability of services and the use of diagnostic and preventive strategies for patients at elevated risk of stroke.
Results Sixty-seven percent (n=1006) of eligible physicians completed the survey.
Diagnostic studies considered readily available by at least 90% of physicians included carotid ultrasonography, transthoracic echocardiography, Holter monitoring, and brain CT and MRI scans.
MR angiography was perceived as being readily available by 68% and transesophageal echocardiography by 74% of respondents.
Conclusions Although all routine and most specialized services for secondary and tertiary stroke prevention are readily available to most physicians, variation in availability exists.
The use of international normalized ratios for monitoring warfarin therapy has not yet become universal.
Physician knowledge of carotid endarterectomy complication rates is generally lacking. (Stroke. 1995 ; 26 : 1607-1615.).
Mots-clés Pascal : Ischémie, Encéphale, Accident cérébrovasculaire, Prévention, Secondaire, Tertiaire, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Pratique professionnelle, Médecin, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Personnel sanitaire
Mots-clés Pascal anglais : Ischemia, Brain (vertebrata), Stroke, Prevention, Secondary, Tertiary, United States, North America, America, Epidemiology, Professional practice, Physician, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease, Health staff
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0509861
Code Inist : 002B17C. Création : 01/03/1996.