Open AccessA new paradigm for primary prevention strategy in people with elevated risk of stroke
Author(s) -
Feigin Valery L.,
Norrving Bo
Publication year - 2014
Publication title -
international journal of stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.375
H-Index - 74
eISSN - 1747-4949
pISSN - 1747-4930
DOI - 10.1111/ijs.12300
Subject(s) - medicine , stroke (engine) , disease , primary prevention , novelty , population , non communicable disease , risk assessment , absolute risk reduction , intensive care medicine , physical therapy , environmental health , computer security , computer science , engineering , mechanical engineering , philosophy , theology
Existing methods of primary stroke prevention are not sufficiently effective. Based on the recently developed S troke R iskometer app, a new ‘mass‐elevated risk stroke/cardiovascular disease prevention’ approach as an addition to the currently adopted absolute risk stroke/cardiovascular disease prevention approach is being advocated. We believe this approach is far more appealing to the individuals concerned and could be as efficient as the conventional population‐based approach because it allows identification and engagement in prevention of all individuals who are at an increased (even slightly increased) risk of stroke and cardiovascular disease. The key novelty of this approach is twofold. First, it utilizes modern far‐reaching mobile technologies, allowing individuals to calculate their absolute risk of stroke within the next 5 to 10 years and to compare their risk with those of the same age and gender without risk factors. Second, it employs self‐management strategies to engage the person concerned in stroke/cardiovascular disease prevention, which is tailored to the person's individual risk profile. Preventative strategies similar to the S troke R iskometer could be developed for other non‐communicable disorders for which reliable predictive models and preventative recommendations exist. This would help reduce the burden of non‐communicable disorders worldwide.