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 .
Control of modifiable risk factors in ischemic stroke outpatients by pharmacist intervention: an equal allocation stratified randomized study.
OBJECTIVE To evaluate the adequacy of management of modifiable risk factors ( MRF ) in a group of ischemic stroke out patients and the value of pharmacist intervention in a r and omized controlled study in a tertiary referral hospital . METHODS 160 ischemic stroke out patients from the same catchment area and with the same financial arrangements for healthcare , went through a 6-month equal allocation stratified r and omized study . Routine practice was not altered except for a monthly 1-hour pharmacist-intervention education programme . We evaluated the differences in blood pressure ( BP ) , blood glucose and lipid profiles before and after study . The proportion of patients with adequate management of MRF  was studied . RESULTS There were no differences in the demographic characteristics , MRF and medications prescribed throughout the study . Before the study , the proportions of adequate control of BP in the control and intervention groups were 43 % vs. 40 % ( P = 0.64 ) , lipid 27 % vs. 13 % ( P = 0.09 ) and glucose 36 % vs. 21 % ( P = 0.15 ) . At the end of the study , the corresponding proportions were for BP 43 % vs. 83 % ( P = 0.00 ) , lipid 27 % vs. 40 % ( P = 0.16 ) and glucose 46 % vs. 35 % ( P = 0.40 ) . CONCLUSION Pharmacist intervention was associated with improved BP control but not with the other MRF . Earlier initiation and longer duration of intervention may improve the outcome further , and whether targeting of high-risk subjects may be particularly rewarding is worthy of investigation
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 .