The ICF Classification System to Assess Risk Factors for CVD in Secondary Prevention after Ischemic Stroke and Intracerebral Hemorrhage

Abstract

Background and objectives: Patients with a history of prior stroke have a high risk for subsequent cardiovascular events (CVD). Therefore, the implementation of an effective strategy to reduce risk factors and thereby improve secondary prevention outcomes is crucial in this patient population. The aim of this study was to determine differences in the incidence of risk factors for recurrent CVD events based on clinical type of prior stroke and to characterize them using the ICF (International Classification of Functioning, Disability and Health) classification system. Materials and Methods: The incidence of risk factors for recurrent CVD events were retrospectively analyzed in 109 patients with a history of ischemic stroke (IS) and 80 patients with a history of intracerebral hemorrhage (ICH) within 14 days poststroke. Results: Atrial fibrillation/flutter (p = 0.031), >70% carotid artery stenosis (p = 0.004), blood pressure >140/90 mmHg (p = 0.025), blood HbA1c levels >7% (p = 0.002), smoking (p = 0.026) and NSAID (nonsteroidal anti-inflammatory drug) use (p < 0.001) were significantly more common in patients with a history of ischemic stroke. However, liver function test abnormalities were observed more commonly in patients with a history of hemorrhagic stroke (p = 0.025). Conclusions: The incidence and type of risk factors for recurrent CVD events vary according to the clinical type of prior stroke. The ICF classification system is a useful tool for evaluating these risk factors. This may help reduce the risk of subsequent CVD events.

Assessment of CVD Risk Factors in Secondary Prevention after Ischemic Stroke Using the ICF

“…Recoding data into ICF classification categories enables their presentation in a universal, legible graphic form, which facilitates making the right clinical decisions [ 24 ]. To date, few articles on applying the ICF classification in secondary CVD prevention have been published [ 25 ].…”

Disabling tinnitus and third nerve palsy following pontine hemorrhage: Application of ICF framework

“…This understanding guided interventions targeting specific participation goals. Ongoing use of the standardized ICF language facilitates clear multidisciplinary communication and goal‐driven rehabilitation 10 …”

“…[7][8][9] The International Classification of Functioning, Disability, and Health (ICF) codifies the multifactorial impacts of health conditions like stroke. 10 The ICF enhances rehabilitation by elucidating specific limitations in body structures/functions, activities, participation, and environmental interactions. ICF-based assessment informs goal setting and interventions to optimize functioning and societal participation.…”

Construction and validation of an instrument for assessing the functionality of individuals with schistosomiasis

“…The study adopted categories of the four components of the ICF, as there is a need for them to be correlated with each other by their different components, corroborating the biopsychosocial model of health (30) . In addition, the ICF has significant potential to serve as a basis for the development of clinical instruments to measure functionality, being used for several health condition (31)(32)(33)(34)(35) .…”