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Recipe Name:

Identify patients with a stroke or TIA not on cholesterol lowering medication


Cholesterol lowering therapies (unless contraindicated) are recommended for all ischaemic stroke patients regardless of cholesterol level. Reducing mean LDL cholesterol levels from 133 mg/dl to 73 mg/dl (1.9 mmol/L) among patients receiving atorvastatin (80mg) resulted in absolute risk reduction of 2.2% over five years for fatal or non fatal stroke and 3.5% for major cardiovascular events1.


Effectively identify all ischaemic stroke / TIA patients not on   cholesterol lowering medications (unless contraindicated) that  would benefit from therapy with a statin. Refer patients for lifestyle advice.

CAT Starting Point:

  1. CAT Open
  2. Population Extract Loaded and Extract Pane "Hidden"
  3. OPTIONAL ONLY{*}: Filter Pane Open and, under the General Tab, "Active Patients (3x < 2 years)" selected

*The decision to select either "Active" or "All" patients is left to the practice to make

In the Filters Pane:

1. In the "Conditions" tab select "Stroke" Yes 

2. In the "Medications" tab under "Medications – Heart" select

  1.  Lipid M/fying - No

2. Click "Recalculate"  

3. Click "View Pop"

This will list all active (if selected on the general filter tab) patients who had a stroke currently not taking lipid modifiying medication and their last visit and assigned provider.


To Export Patient List to Microsoft Excel:

1.  Click on the “Export Icon”  at the top of the Patient Reidentification window.

2.  Click on “Excel”

3.   Choose a file name and a location to save to (eg. Create a folder C:/ClinicalAudit/CAT Patient FollowUp)

4.  Click “Save”

The steps above will produce a list of patients with contact details in MS Excel which can then be used to:

1.   Go back through the individual patient records in the GP Clinical Desktop System (CDS) and update known records

2.  Phone patients to update their record

3.  Produce a mail merge to recall patients for follow up

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This CAT Recipe was submitted by

National Stroke Foundation
and supports their Clinical Guidelines for Stroke
and TIA Management: A guide for general practice, 2008.