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. 2019 Dec;60(12):616-620.
doi: 10.11622/smedj.2019158.

Long-term complications of stroke and secondary prevention: an overview for primary care physicians

Shakil Ahmed Chohan  1 , Prasanna Kappaganthu Venkatesh  2 , Choon How How  3   4
Affiliations

Long-term complications of stroke and secondary prevention: an overview for primary care physicians

Shakil Ahmed Chohan et al. Singapore Med J. 2019 Dec.

Abstract

Despite a decline in mortality from stroke, the annual incidence in the general population is increasing. For many stroke survivors and their families, the acute stroke is the beginning of an ongoing struggle with physical impairment and subsequent disability. Over time, the immediate clinical consequences of the stroke are complicated by a variety of lesser-known medical, musculoskeletal and psychosocial difficulties. The primary care physician is best positioned to optimise chronic disease control, reduce risk and manage complications of stroke. Early screening and appropriate management is key. Instituting secondary prevention and attention to bowel and bladder problems can help reduce medical complications and re-admissions, while adequate analgesia, positioning/splinting of limbs and physiotherapy can lessen discomfort and preventable suffering. Primary care physicians can identify and treat post-stroke mood issues and involve psychological counselling for patients and caregivers. Adequate education and support may restore the independence of patients with stroke or minimise any resultant dependency.

Keywords: complications; primary care; psychosocial; rehabilitation; stroke.

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Figures

Box 1
Box 1
Secondary prevention targets for stroke:
Box 2
Box 2
Long-term complications of stroke:
See this image and copyright information in PMC

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