Factors Affecting the Knowledge About Stroke Risks and Early Symptoms in Emergency Department East Java - Indonesia

Abstract

Background: The knowledge about stroke risks and early symptoms is pivotal to minimize the arrival delay in the hospital and maximize the effective treatments. Objective: Investigating the factors affecting the knowledge about stroke risks and early symptoms in emergency department (ED). Methods: The study employed cross sectional design by means of prospective approach. Samples were taken by consecutive sampling technique recruiting in total of 58 respondents. The respondents were the family or relatives of acute ischemic stroke patients who happened to know and directly involved in taking the patients to the ED. Data analyzed by utilizing univariate analysis, independent ttest, and one-way ANOVA to determine the differences in the knowledge of every respondent based on several characteristics. Multivariate analysis was used to investigate the factors affecting the knowledge about stroke risks and early symptoms. Results: The average age of the 58 respondents was 34-57 years old. 46.5% of whom were graduating from primary school; 51.7% have never been equipped with the necessary information about stroke; 55.2% are female; and 50% of whom were unemployed. There were differences in the knowledge about stroke risks based on the prior information about stroke and education background. As for stroke early symptoms, there were differences towards occupations, prior information about stroke, and education background. The most affecting factor towards the knowledge of stroke risks is education background (p=0.000); while the knowledge about stroke early symptoms was mostly affected by prior information about stroke (p=0.012) and education background (p=0.000). Discussions : Most respondents were less equipped with the necessary knowledge about stroke risks and symptoms. The respondents' knowledge about stroke risks and early symptoms was considered less, while education background was the affecting factor towards the knowledge about stroke risks and symptoms.

Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco

“…The low level of education has been associated in the Moroccan context with a poor level of knowledge, the Souss Massa region illiteracy rate (33.1%) being slightly higher than the 2018 national rate (32.2%) reported by the High Commission for Planning of Morocco [30]. This is consistent with the results of a range of studies in which low education level has been the factor most associated with a low level of knowledge in the population surveyed about stroke [19,[31][32][33]. Similarly, other investigations have confirmed an association between a higher level of education and a good state of knowledge [12,[34][35][36].…”

Vertebrobasilar Blood Flow in Geriatric Patients With Hip Fractures

“…Authors keep postural hypotension responsible for hip fractures resulting from falls. 9,10 Vertigo is especially one of the important problems of patients aged seventy years or older. Vertigo is observed in 30% of nursery patients aged 70 years and older.…”

“…Most of the falls occur in consequence of postural imbalance and stroke 1,2,3,4 Visual, vestibular, proprioceptive and mechanoceptive systems have effects on postural balance 4,5,6,7 Postural hypotension, insufficiency in the veins feeding the balance center, associatively vertigo play a key role in the falling etiologies of the elderly and accordingly in the indirect etiologies of hip fractures 7,8 Studies show that 1/3 of the elderly aged 70 years and older are exposed to serious falls at least once a year. 9,10 Approximately 30% of the elderly aged 70 years and older have vertigo. It was discovered in a study that a temporary decrease in the arterial blood pressure by 10% caused a temporary decrease in the cerebral blood flow by 60% 3 The expectation that such a temporary cerebral flow disorder will be more severe in geriatric patients with vertebrobasilar insufficiency is quite common.…”

Emerging challenges in the health systems of Kerala, India: qualitative analysis of literature reviews

“…Some studies reported the issue of under-reporting of less severe or benign illnesses, especially among the poor [14,35]. Higher education and better socio-economic status were factors for recognizing symptoms of vascular illnesses [34,36]. Most studies from India and other countries concluded that people with higher educational qualifications tended to visit the hospital early in the event of an acute cardiac attack or stroke [37][38][39][40].…”