This thesis focuses on the applicability of results of clinical trials of
stroke and TIA patients in everyday practice and on measurement of quality
of stroke care. A third aim is to further expand an underexposed aspect of
stroke care, namely health education in stroke patients.
Chapter 2.1 describes which proportion of patients in a stroke population
fulfils the enrolment criteria of recently performed randomized controlled
trials investigating antiplatelets in stroke patients. Chapter 2.2 focuses
on the question whether the combination of low dose aspirin and
dipyridamole is more effective than aspirin alone in reducing the risk of
recurrent stroke and other major cardiovascular events in patients with a
disabling stroke. Chapter 3.1 focuses on the measurement of quality of
stroke care by process-of-care indicators. Chapter 4.1 covers the
rationale, background and design of the computer-supported individualized
health education for TIA and minor stroke patients (COSTA) study. Chapter
4.2 describes the knowledge of stroke and TIA patients about this disease
and accessory risk factors and treatment. The main results of the COSTA
study are presented in chapter 4.3. Chapter 4.4 provides a review of the
literature on health education in stroke and TIA patients. Finally,
chapter 5 and 6 provide a general discussion and summary of the results of
the studies presented in this thesis.http://repub.eur.nl/res/pub/23182/110112_Maasland%2C%20Elisabeth.pdf
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