{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T04:04:00Z","timestamp":1772942640686,"version":"3.50.1"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec>\n            <jats:title>Background and Purpose\u2014<\/jats:title>\n            <jats:p>The Veterans Health Administration has engaged in quality improvement to improve vascular risk factor control. We sought to examine blood pressure (&lt;140\/90 mm\u2009Hg), lipid (LDL [low-density lipoprotein] cholesterol &lt;100 mg\/dL), and glycemic control (hemoglobin A1c &lt;9%), in the year post-hospitalization for acute ischemic stroke or acute myocardial infarction (AMI).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods\u2014<\/jats:title>\n            <jats:p>We identified patients who were hospitalized (fiscal year 2011) with ischemic stroke, AMI, congestive heart failure, transient ischemic attack, or pneumonia\/chronic obstructive pulmonary disease. The primary analysis compared risk factor control after incident ischemic stroke versus AMI. Facilities were included if they cared for \u226525 ischemic stroke and \u226525 AMI patients. A generalized linear mixed model including patient- and facility-level covariates compared risk factor control across diagnoses.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results\u2014<\/jats:title>\n            <jats:p>\n              Forty thousand two hundred thirty patients were hospitalized (n=75 facilities): 2127 with incident ischemic stroke and 4169 with incident AMI. Fewer stroke patients achieved blood pressure control than AMI patients (64%; 95% confidence interval, 0.62\u20130.67 versus 77%; 95% confidence interval, 0.75\u20130.78;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.0001). After adjusting for patient and facility covariates, the odds of blood pressure control were still higher for AMI than ischemic stroke patients (odds ratio, 1.39; 95% confidence interval, 1.21\u20131.51). There were no statistical differences for AMI versus stroke patients in hyperlipidemia (\n              <jats:italic>P<\/jats:italic>\n              =0.534). Among patients with diabetes mellitus, the odds of glycemic control were lower for AMI than ischemic stroke patients (odds ratio, 0.72; 95% confidence interval, 0.54\u20130.96).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions\u2014<\/jats:title>\n            <jats:p>Given that hypertension control is a cornerstone of stroke prevention, interventions to improve poststroke hypertension management are needed.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/strokeaha.117.017142","type":"journal-article","created":{"date-parts":[[2017,12,28]],"date-time":"2017-12-28T10:06:38Z","timestamp":1514455598000},"page":"296-303","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":21,"title":["Comparison of Risk Factor Control in the Year After Discharge for Ischemic Stroke Versus Acute Myocardial Infarction"],"prefix":"10.1161","volume":"49","author":[{"given":"Dawn M.","family":"Bravata","sequence":"first","affiliation":[{"name":"From the VHA Health Services Research and Development (HSR&amp;D), Stroke Quality Enhancement Research Initiative (QUERI), Indianapolis, IN (D.M.B., J.D., F.B., L.J.M., G.A.); VHA HSR&amp;D Center for Health Information and Communication (CHIC), Richard L. Roudebush VHA Medical Center, Indianapolis, IN (D.M.B., J.D., L.J.M., J.C.); Department of Medicine (D.M.B., L.J.M.), Department of Neurology (D.M.B., J.B.), and Department of Biostatistics (J.D., F.B.), Indiana University School of Medicine,..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Daggy","sequence":"additional","affiliation":[{"name":"From the VHA Health Services Research and Development (HSR&amp;D), Stroke Quality Enhancement Research Initiative (QUERI), Indianapolis, IN (D.M.B., J.D., F.B., L.J.M., G.A.); VHA HSR&amp;D Center for Health Information and Communication (CHIC), Richard L. Roudebush VHA Medical Center, Indianapolis, IN (D.M.B., J.D., L.J.M., J.C.); Department of Medicine (D.M.B., L.J.M.), Department of Neurology (D.M.B., J.B.), and Department of Biostatistics (J.D., F.B.), Indiana University School of Medicine,..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared","family":"Brosch","sequence":"additional","affiliation":[{"name":"From the VHA Health Services Research and Development (HSR&amp;D), Stroke Quality Enhancement Research Initiative (QUERI), Indianapolis, IN (D.M.B., J.D., F.B., L.J.M., G.A.); VHA HSR&amp;D Center for Health Information and Communication (CHIC), Richard L. Roudebush VHA Medical Center, Indianapolis, IN (D.M.B., J.D., L.J.M., J.C.); Department of Medicine (D.M.B., L.J.M.), Department of Neurology (D.M.B., J.B.), and Department of Biostatistics (J.D., F.B.), Indiana University School of Medicine,..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason J.","family":"Sico","sequence":"additional","affiliation":[{"name":"From the VHA Health Services Research and Development (HSR&amp;D), Stroke Quality Enhancement Research Initiative (QUERI), Indianapolis, IN (D.M.B., J.D., F.B., L.J.M., G.A.); VHA HSR&amp;D Center for Health Information and Communication (CHIC), Richard L. Roudebush VHA Medical Center, Indianapolis, IN (D.M.B., J.D., L.J.M., J.C.); Department of Medicine (D.M.B., L.J.M.), Department of Neurology (D.M.B., J.B.), and Department of Biostatistics (J.D., F.B.), Indiana University School of Medicine,..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fitsum","family":"Baye","sequence":"additional","affiliation":[{"name":"From the VHA Health Services Research and Development (HSR&amp;D), Stroke Quality Enhancement Research Initiative (QUERI), Indianapolis, IN (D.M.B., J.D., F.B., L.J.M., G.A.); VHA HSR&amp;D Center for Health Information and Communication (CHIC), Richard L. Roudebush VHA Medical Center, Indianapolis, IN (D.M.B., J.D., L.J.M., J.C.); Department of Medicine (D.M.B., L.J.M.), Department of Neurology (D.M.B., J.B.), and Department of Biostatistics (J.D., F.B.), Indiana University School of Medicine,..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura J.","family":"Myers","sequence":"additional","affiliation":[{"name":"From the VHA Health Services Research and Development (HSR&amp;D), Stroke Quality Enhancement Research Initiative (QUERI), Indianapolis, IN (D.M.B., J.D., F.B., L.J.M., G.A.); VHA HSR&amp;D Center for Health Information and Communication (CHIC), Richard L. Roudebush VHA Medical Center, Indianapolis, IN (D.M.B., J.D., L.J.M., J.C.); Department of Medicine (D.M.B., L.J.M.), Department of Neurology (D.M.B., J.B.), and Department of Biostatistics (J.D., F.B.), Indiana University School of Medicine,..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christianne L.","family":"Roumie","sequence":"additional","affiliation":[{"name":"From the VHA Health Services Research and Development (HSR&amp;D), Stroke Quality Enhancement Research Initiative (QUERI), Indianapolis, IN (D.M.B., J.D., F.B., L.J.M., G.A.); VHA HSR&amp;D Center for Health Information and Communication (CHIC), Richard L. Roudebush VHA Medical Center, Indianapolis, IN (D.M.B., J.D., L.J.M., J.C.); Department of Medicine (D.M.B., L.J.M.), Department of Neurology (D.M.B., J.B.), and Department of Biostatistics (J.D., F.B.), Indiana University School of Medicine,..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Cheng","sequence":"additional","affiliation":[{"name":"From the VHA Health Services Research and Development (HSR&amp;D), Stroke Quality Enhancement Research Initiative (QUERI), Indianapolis, IN (D.M.B., J.D., F.B., L.J.M., G.A.); VHA HSR&amp;D Center for Health Information and Communication (CHIC), Richard L. Roudebush VHA Medical Center, Indianapolis, IN (D.M.B., J.D., L.J.M., J.C.); Department of Medicine (D.M.B., L.J.M.), Department of Neurology (D.M.B., J.B.), and Department of Biostatistics (J.D., F.B.), Indiana University School of Medicine,..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Coffing","sequence":"additional","affiliation":[{"name":"From the VHA Health Services Research and Development (HSR&amp;D), Stroke Quality Enhancement Research Initiative (QUERI), Indianapolis, IN (D.M.B., J.D., F.B., L.J.M., G.A.); VHA HSR&amp;D Center for Health Information and Communication (CHIC), Richard L. Roudebush VHA Medical Center, Indianapolis, IN (D.M.B., J.D., L.J.M., J.C.); Department of Medicine (D.M.B., L.J.M.), Department of Neurology (D.M.B., J.B.), and Department of Biostatistics (J.D., F.B.), Indiana University School of Medicine,..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greg","family":"Arling","sequence":"additional","affiliation":[{"name":"From the VHA Health Services Research and Development (HSR&amp;D), Stroke Quality Enhancement Research Initiative (QUERI), Indianapolis, IN (D.M.B., J.D., F.B., L.J.M., G.A.); VHA HSR&amp;D Center for Health Information and Communication (CHIC), Richard L. Roudebush VHA Medical Center, Indianapolis, IN (D.M.B., J.D., L.J.M., J.C.); Department of Medicine (D.M.B., L.J.M.), Department of Neurology (D.M.B., J.B.), and Department of Biostatistics (J.D., F.B.), Indiana University School of Medicine,..."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-12-200412210-00010"},{"key":"e_1_3_3_3_2","unstructured":"VA Health Service Research and Development. Office of Performance Measurement (10p2b1): VHA Office of Analytics and Business Intelligence. Performance Measurement. https:\/\/www.hsrd.research.va.gov\/for_researchers\/cyber_seminars\/archives\/video_archive.cfm?SessionID=535. 2012. 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