Hypertension, Stroke
Conditions
Keywords
stroke, hypertension, secondary prevention, educational program
Brief summary
The main objective of the study is to compare the benefit of optimised follow-up by nursing personnel from the vascular neurology department, including therapeutic follow-up and an educational program directed to the patient and a caregiving member of his social circle, with that of a typical follow-up.
Interventions
optimised follow-up will be done by nursing personnel associated with a caregiving member of his social circle.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients over 60 years of age * Patients who have had a first stroke, transient or permanent, ischaemic or haemorrhagic, justifying hospitalisation * Patients with high blood pressure already treated or discovered at the time of the stroke and justifying the start of a treatment * Patients who have had a stroke with sequelae allowing immediate return home or justifying a stay of less than one month in rehabilitation * Patient having a member of his social circle who has agreed to provide follow-up for two years in association with the assigned nursing personnel in case of randomisation into the optimised follow-up group.
Exclusion criteria
* Patients less than 60 years of age * Patients with a history of stroke * Patients who do not have high blood pressure discovered by a treatment prior to the stroke or by abnormal blood pressure figures during hospitalisation * Patients who have had a stroke causing serious sequelae, justifying an extended stay in a rehabilitation department * Patient who has no one in his social circle capable of working with the assigned nursing personnel, or patient living in an institution
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| blood pressure | 12 months | blood pressure will be measured by nursing personnel who do not know the group into which the patient has been randomised. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Outcome of stroke | 6 months 12 months 2 years. | functional handicap (Rankin scale) cognitive state (MoCA scale) |
Countries
France