Comprehensive Management of High-risk PopuLatIon of Stroke Based on Social Network

Inclusion Criteria: * Age ≥18 years * High-risk population of stroke for hospitalization * Modified Rankin Scale score≤ 2 * Patients or primary caregiver have smart phone and wechat accounts * Patients take at least one drug for a long time (antihypertensive, hypoglycemic, lipid-lowering, anticoagulant, antiplatelet drugs) * Written informed consent Exclusion Criteria: * Patients and their families are unable to operate smartphones * Having other diseases that interfere with clinical follow-up assessment (such as cancer, dementia, severe mental illness, etc.) * Life expectancy is less than 12 months * Patients living in the absence of network conditions