ASCVD Screening for Adults at Risk for Stroke: Primary Care Integration
Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Caring sciences::Nursing , Hydroxymethylglutaryl-CoA Reductase Inhibitors , Stroke , Atherosclerosis , Cardiovascular Diseases
Background: Strokes impact patients both mentally and physically, yet some patients are unaware of their risk factors and severity of their medical conditions. As the number of patients who suffer from a stroke continues to rise, more emphasis needs to be placed on what can be done from a primary care setting. The purpose of this project is to determine if the implementation of the Atherosclerotic Cardiovascular Disease (ASCVD) risk screening tool initiated by the primary care provider will improve the education and interventions provided to patients at risk for suffering from a stroke. Method: Conducted over a three-month time frame, data was collected through a random sample of 40 patients, aged 40-79, with at least one stroke risk factor present and who were not taking a statin. Patients identified by the primary care provider using the ASCVD risk screening tool were given an educational booklet and treated based on recommendations. A three-month pre-intervention retrospective chart review was used to compare pre-and post-intervention data for patients who met the project criteria. Results: For patients identified at risk for stroke, the mean 10-year and lifetime risk scores were calculated with the lifetime risk being much higher at 37%. Based on screening recommendations, statin therapy was initiated for 37.5% of patients. Linguistically appropriate printed education was provided for 87.5% compared to no printed education prior to the quality improvement project. Conclusion: Implementation of the ASCVD screening tool facilitated identification of patients at risk for stroke and led to improvements in care through focused education and appropriate evidence-based interventions.