• Silvia Reverté-Villarroya, Rosa Suñer-Soler, Esther Sauras-Colón, Josep Zaragoza-Brunet, José Fernández-Sáez, and Fidel Lopez-Espuela.
• Departamento de Enfermería, Campus Terres de l'Ebre, Universitat Rovira i Virgili, Tortosa, Tarragona, España; Grupo de Investigación Avanzada en Enfermería, Universitat Rovira i Virgili, Tarragona, España.
• Aten Primaria. 2023 Jun 1; 55 (6): 102623102623.

ObjectiveTo analyze the presence of vascular risk factors (VRF) among young adult and older adult patients with ischemic stroke, with and without follow-up in primary care after hospital discharge.DesignObservational, retrospective, multicenter study.SettingPrimary care health centers and Hospital Verge de la Cinta, Tortosa, Spain.ParticipantsPatients with ischemic stroke of two age groups (≤55 and ≥65years) distributed in two groups (GroupA: without follow-up in primary care; and GroupB: with follow-up in primary care), between 2011-2020.Main MeasurementsSociodemographic, clinical, and VRF data coded according to the International Classification of Diseases (ICD-10). Descriptive, and inferential statistics.ResultsData from 2054 participants were analyzed. In the young adult group, 94.9% of the participants in groupA had between 1-2VRFs, compared to 60% in groupB. In the older adult group, 84.4% of groupA had between 1-2VRFs, compared to 43,9% of groupB. The most frequent VRFs among younger and older adult patients with ischemic stroke were hypertension and dyslipidemia in both follow-up groups. There were no records of obesity, smoking, or alcohol consumption in groupA. There was a significant association between being followed up in primary care after stroke and being a young adult and presenting between 3-4 VRFs (P<0.001).ConclusionsThe results reinforce the need for continuity of care and follow-up in people with acute stroke in primary care and the need to improve the quality of registries.Copyright © 2023 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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