Abstract T P380: Blood Pressure Management among Stroke Patients: The Impact of a Comprehensive Post-Stroke Model in Louisiana
Background and Purpose: Stroke is the 4th leading cause of death in the United States, and 38.4% of Louisiana residents report being told they have high blood pressure or hypertension in 2011. The American Stroke Association estimates that 80% of stroke can be prevented through effective blood pressure management, particularly for patients who have already had a stroke. Stroke Mobile, a novel, outpatient care program provides targeted follow-up care and patient/caregiver education for 12 months as part of Ochsner's Comprehensive Stroke Care Model. Stroke Mobile Care Teams, consisting of a Registered Nurse and Lay Health Educator, visit patients and their caregivers in their homes monthly to assess overall health, existing co morbidities, including blood pressure, and provide comprehensive patient/caregiver education and support. Stroke Mobile Care Teams can link back to providers to provide real-time intervention for patients whose blood pressure is elevated. This study will describe ongoing monitoring and intervention for participants in this innovative post-stroke care model.
Methods: The study sample includes patients discharged with a final discharge of stroke who reside in St. Tammany or Jefferson Parishes in Louisiana and have completed 12 Stroke Mobile visits in 2013-2014 (n=33). Demographic characteristics and blood pressure management at hospital discharge and upon completion of the Stroke Mobile program was analyzed.
Results: Of those who completed 12 visits (n=33), 60.6% had uncontrolled blood pressure levels when starting the Stroke Mobile program. Following monthly monitoring and intervention (as needed) for blood pressure control, 93% of patients who had uncontrolled blood pressure levels post-discharge were at or below their blood pressure goal. All patients were educated across multiple visits on stroke risk factors and blood pressure management and reduction strategies.
Conclusions: These results suggest clear benefit from monthly post-stroke follow-up that includes consistent blood pressure assessment and maintenance strategies combined with targeted blood pressure education on management strategies post stroke
Author Disclosures: K. Gaines: None. P. Commiskey: None. A. Bridges: None.
- © 2015 by American Heart Association, Inc.