{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T11:56:03Z","timestamp":1782647763511,"version":"3.54.5"},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,5,10]],"date-time":"2017-05-10T00:00:00Z","timestamp":1494374400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["586605"],"award-info":[{"award-number":["586605"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1042600"],"award-info":[{"award-number":["1042600"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1063761"],"award-info":[{"award-number":["1063761"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1061457"],"award-info":[{"award-number":["1061457"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec><jats:title>Background and purpose<\/jats:title><jats:p>Limited evidence exists on the benefits of organized care for improving risk factor control in patients with stroke or transient ischaemic attack. The effectiveness of an individualized management programme in reducing absolute cardiovascular disease risk in this high\u2010risk population was determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a prospective, multicentre, cluster\u2010randomized controlled trial with blinded assessment of outcomes and intention\u2010to\u2010treat analysis. Patients hospitalized for stroke\/transient ischaemic attack and aged \u226518 years were recruited from four hospitals. General practices treating recruited patients were randomized to provide either usual care or an individualized management programme comprising nurse\u2010led education and review of care plans by stroke specialists in addition to usual care. The primary outcome was a change in cardiovascular Framingham Risk Score between baseline and 12 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From January 2010 to November 2013, 156 general practices (280 patients) were randomly assigned to usual care (control) and 159 (283 patients) to the intervention. The median age was 70.1 years; 65% were male. Overall, &gt;80% of participants were prescribed recommended secondary prevention therapies at baseline. The primary efficacy analysis comprised 533 participants, with 30 either dying or lost to follow\u2010up. In adjusted analyses, no significant between\u2010group difference was found in the cardiovascular risk score at 12 months (0.04, 95% confidence interval \u22121.7, 1.8).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The effectiveness of an organized secondary prevention programme for stroke may be limited in patients from high\u2010performing hospitals with regular post\u2010discharge follow\u2010up and communication with general practices.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.13306","type":"journal-article","created":{"date-parts":[[2017,5,10]],"date-time":"2017-05-10T05:22:39Z","timestamp":1494393759000},"page":"920-928","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Effectiveness of a shared team approach between nurses and doctors for improved risk factor management in survivors of stroke: a cluster randomized controlled trial"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4070-0533","authenticated-orcid":false,"given":"M. T.","family":"Olaiya","sequence":"first","affiliation":[{"name":"Stroke and Ageing Research School of Clinical Sciences at Monash Health Monash University Clayton Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Kim","sequence":"additional","affiliation":[{"name":"Stroke and Ageing Research School of Clinical Sciences at Monash Health Monash University Clayton Vic. Australia"},{"name":"Stroke Division Florey Institute of Neuroscience and Mental Health Parkville Vic Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. R.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Menzies Institute for Medical Research Hobart Tas Australia"},{"name":"Department of Epidemiology and Preventive Medicine Monash University Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. K.","family":"Srikanth","sequence":"additional","affiliation":[{"name":"Stroke and Ageing Research School of Clinical Sciences at Monash Health Monash University Clayton Vic. Australia"},{"name":"Menzies Institute for Medical Research Hobart Tas Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. F.","family":"Bladin","sequence":"additional","affiliation":[{"name":"Department of Neurosciences Box Hill Hospital Box Hill Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. P.","family":"Gerraty","sequence":"additional","affiliation":[{"name":"Department of Medicine Epworth Healthcare Richmond Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. M.","family":"Fitzgerald","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Preventive Medicine Monash University Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Phan","sequence":"additional","affiliation":[{"name":"Stroke and Ageing Research School of Clinical Sciences at Monash Health Monash University Clayton Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Frayne","sequence":"additional","affiliation":[{"name":"Department of Neurology Alfred Hospital Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8162-682X","authenticated-orcid":false,"given":"D. A.","family":"Cadilhac","sequence":"additional","affiliation":[{"name":"Stroke and Ageing Research School of Clinical Sciences at Monash Health Monash University Clayton Vic. Australia"},{"name":"Stroke Division Florey Institute of Neuroscience and Mental Health Parkville Vic Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. 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