There were no significant effects of organisational  interventions on lipid profile , HbA1c , medication adherence or recurrent cardiovascular events .
Pooled results indicated that educational interventions were not associated with clear differences in any of the review outcomes .
The estimated effects of organisational interventions were compatible with improvements and no differences in several modifiable risk factors .
BACKGROUND People with stroke or transient ischaemic attack ( TIA ) are at increased risk of future stroke and other cardiovascular events .
Evidence -based strategies for secondary stroke prevention have been established .
However , the implementation of prevention strategies could be improved .
OBJECTIVES To assess the effects of stroke service interventions for implementing secondary stroke prevention strategies on modifiable risk factor control , including patient adherence to prescribed medications , and the occurrence of secondary cardiovascular events .
Standard Medical Management in Secondary Prevention of Ischemic Stroke in China (SMART)
Background Although guidelines for secondary ischemic stroke have been developed , there is a gap between guidelines and clinic practice . Aims This study will investigate the current status of secondary ischemic stroke prevention in China , and implement a st and ard medical program in ischemic stroke and /or transient ischemic attack patients , and to examine the feasibility and efficacy of the program . Design This is a multicentre , parallel , r and omized , open label , controlled trial to evaluate the feasibility and efficacy of a recommended guideline based program ( SMART ) in secondary stroke prevention .  Forty-eight sites across Mainl and China will participate in the trial . The number of enrolled patients in the study will be 4074 . Primary outcome includes the proportion of patients adherent to eligible measures recommend by the SMART program  , which is derived from current prevention guidelines for ischemic stroke , and the proportion of the patients achieving the treatment target . Secondary outcomes include new onset ischemic stroke , hemorrhagic stroke , acute coronary syndrome and all causes of death . The study has been registered on Clinical trials.gov ( NCT00664846 ) ; to date , 3380 patients have been enrolled
There were no significant effects of organisational  interventions on lipid profile , HbA1c , medication adherence or recurrent cardiovascular events .
Pooled results indicated that educational interventions were not associated with clear differences in any of the review outcomes .
The estimated effects of organisational interventions were compatible with improvements and no differences in several modifiable risk factors .
BACKGROUND People with stroke or transient ischaemic attack ( TIA ) are at increased risk of future stroke and other cardiovascular events .
Evidence -based strategies for secondary stroke prevention have been established .
However , the implementation of prevention strategies could be improved .
OBJECTIVES To assess the effects of stroke service interventions for implementing secondary stroke prevention strategies on modifiable risk factor control , including patient adherence to prescribed medications , and the occurrence of secondary cardiovascular events .