Preliminary evaluation of the effect of comprehensive health management on the prevention and treatment of ischemic stroke
10.3969/j.issn.1006-2483.2026.02.019
- VernacularTitle:全程化健康管理对缺血性脑卒中的防治效果
- Author:
Shuai ZHU
1
;
Genming ZHAO
2
;
Yiying ZHANG
1
;
Dongni LIANG
1
;
Hongjie YU
1
;
Qian PENG
1
;
Fang XIANG
3
;
Na WANG
2
Author Information
1. Center for Disease Control and Prevention of Jiading District, Shanghai 201899, China
2. Fudan University, Shanghai 200032, China
3. Community Health Service Center of Huangdu Anting Town Jiading District, Shanghai 201804, China
- Publication Type:Journal Article
- Keywords:
Informatization;
Screening of high-risk individuals for stroke;
Full course health management;
Ischemic stroke
- From:
Journal of Public Health and Preventive Medicine
2026;37(2):89-93
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the short-term effects of comprehensive health management interventions for stroke high-risk population screening on the prevention and treatment of ischemic stroke, and to provide reference and basis for improving and exploring health management and prevention strategies for stroke high-risk population. Methods From 2018 to 2022, 13 community health service centers in Jiading District, Shanghai were selected in the present study. Based on information push platform, stroke risk assessment and health intervention follow-up were conducted for community residents through convenience sampling. The residents were divided into a full course intervention group (intervention group) and a routine intervention group (control group) according to different health intervention measures and forms. The incidence of ischemic stroke in the two groups of survey subjects was tracked within 36 months. Results A total of 52144 subjects were included in the study. The total number of patients in the full course intervention group was 14227, with an incidence density of 577.32/100 000 (556.49/100 000-598.12/100 000), which was lower than that of the conventional intervention group (37 917), with an incidence density of 1 485.47/100 000 (1 464.99/100 000-1 505.94/100 000) (χ2=2490.212, P<0.001). The relative risk of the full course intervention group was 0.39, and the relative risk of stroke risk factors in the full course intervention group from low to high was 0.33, 0.43, 0.45, and 0.49, respectively. The incidence density of males in the full course intervention group was 660.76 (627.46/100 000 - 694.05/100 000), with a relative risk of 0.43, and the incidence density of female patients was 509.71/100 000 (483.37/100 000 - 536.05/100 000), with a relative risk of 0.35. The overall incidence density of the population under 62 years old gourp, 62-75 years old group and over 75 years old group was 197.45/100 000 (173.09/100 000 -221.80/100 000), 608.36/100 000 (580.19/100 000-636.54/100 000), and 1 025.06/100 000 (958.51/100 000-1 091.61/100 000), with relative risks of 0.51, 0.44, and 0.38, respectively. Conclusion Comprehensive health management measures can effectively reduce the short-term risk of ischemic stroke, and should be further promoted and improved to enhance the effectiveness of stroke prevention and control.
