Article Text

PDF
Cohort
Interventions to improve secondary prevention after stroke are needed: adherence to prescribed preventative drugs after stroke declines rapidly during the first 2 years after hospital discharge
  1. Steven R Erickson1,
  2. Kim A Eagle2
  1. 1College of Pharmacy, University of Michigan, Michigan, USA
  2. 2School of Medicine, University of Michigan, Michigan, USA
  1. Correspondence to Steven R Erickson
    428 Church Street, Ann Arbor, MI 48109, USA; serick{at}med.umich.edu

Statistics from Altmetric.com

Commentary on:

The message is clear. Many patients do not take their medication as directed, nor do they continue to take them, a message derived from decades of research.1 In developed countries, adherence averages only 50% and is considered to be a major problem worldwide.2 Inadequate adherence, or lack of persistence, may lead to catastrophic events such as stroke. Having experienced one of these events is not a guarantee that patients will continue taking medication. Studies such as the one by Glader and colleagues demonstrate that even after a stroke, about half of patients who were prescribed appropriate, evidence-based medications discontinue therapy.

Study design

The study by Glader and colleagues followed a cohort of stroke patients for a period of 2 years after their index event. Data were obtained from the Swedish Stroke Registry and national-pharmacy-claims data for antihypertensive drugs, statins, antiplatelet agents and …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.