{
  "abstract": "Background and Importance Stroke is a major cause of disability and death worldwide. Survivors remain at risk for recurrent events that increase morbidity, mortality, and healthcare costs. Reported recurrence rates range from 5–15% within the first year, with the highest risk occurring shortly after hospital discharge. Although secondary prevention strategies are available, evidence in Thai patients is limited. This gap hinders the identification of high-risk groups and the development of effective interventions. Addressing it is essential to improve follow-up care and reduce recurrence.Aim and Objectives This study aimed to determine the 2 year incidence of recurrent stroke after hospital discharge and to identify risk factors associated with recurrence in Thai patients.Material and Methods A retrospective analytical study was conducted among patients admitted with ischaemic stroke between January and October 2022. Patients were classified into two groups: those who developed recurrent stroke after discharge (followed until recurrence) and those without recurrence (followed for 24 months after discharge). Patients with incomplete follow-up data were excluded. Baseline characteristics were collected, including vascular risk factors. Logistic regression was performed to identify factors associated with recurrence. Variables included in the model were sex, age, BMI, alcohol use, smoking status, history of stroke, HbA1c, and LDL. Results were reported as odds ratios (ORs) with 95% CIs.Results A total of 219 patients were followed for 306.4 person-years. During the 24-month follow-up, 27 patients (12.3%) experienced recurrent ischaemic stroke, corresponding to an incidence rate of 8.8 per 100 person-years. The median time to recurrence was 131 days (IQR 17–394). Notably, 37% of recurrences occurred within the first month after discharge, equivalent to 66 per 100 person-years. Logistic regression analysis identified obesity (BMI ≥30 kg/m 2) as a significant risk factor (OR 3.1, 95% CI 1.2–8.2). Other variables–including sex, age, smoking, alcohol consumption, prior stroke, HbA1c, and LDL–showed no significant association with recurrence.Conclusion and Relevance Recurrent ischaemic stroke occurred most frequently in the first month and continued to accumulate over 2 years. Obesity was the only significant risk factor. These findings underscore the need for both early and sustained secondary prevention, structured follow-up, and targeted weight management in Thai stroke patients.Conflict of Interest No conflict of interest",
  "authors": [
    {
      "affiliations": [
        "Queen Savang Vadhana Memorial Hospital, Pharmacy, Chonburi, Thailand"
      ],
      "name": "T Wongwian"
    }
  ],
  "title": "6ER-036 Incidence and risk factors for recurrent stroke within 2 years after hospital discharge",
  "uid": "125bea22-a265-5cc3-a2cb-7993836f51a4"
}