Stroke is one of the leading causes of disability in America, accounting for one-half of all nursing home admissions nationwide. In Fresno County, stroke is the third leading cause of death, significantly exceeding the Healthy People 2010 objective for stroke. African Americans are twice as likely as Caucasians and other groups to have a stroke, and are twice as likely to die from a stroke. Age also increases the risk for stroke, doubling each decade after age 55. For this reason, the National Stroke Association recommended screening for the most common precursors of stroke. Three screening events were planned in predominately African American senior locations. In addition to screening for stroke, the organizers discussed the need for on-going medical care for high risk conditions found during the screenings and the general prevention of disease, made referrals for those without a “medical home,” and contacted participants after the screening to ensure they obtained follow-up care. Of 117 people over the age of 40 screened at the events, 30 were found to have blocked carotid arteries that necessitated at least medical treatment, 17 with undiagnosed high blood pressure, and 9 with an irregular heart beat. By identifying those persons at highest risk for stroke, and assisting them in accessing medical care before a stroke occurs, their quality of life can be greatly improved. In addition, there is the potential of significant reductions in the cost for the medical care of stroke victims.
Learning Objectives: 1. Articulate the proximate causes of stroke, including screening methodologies used. 2. Discuss unique approaches to increasing access and use of medical care by those over 50 years of age.
Keywords: Strokes, Disease Prevention
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: California Health Collaborative
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Employee of California Health Collaborative. This pilot stroke screening project funded by grant from Community Medical Foundation to California Health Collaborative. Grant completed August 2000.