Knowledge of Stroke Signs and Symptoms Among Residents in a Rural South Eastern Nigerian Community

Chukwudelunzu, Felix E.; Okwu-Delunzu, Virginia U.; Dzissah, John

doi:10.1016/j.jstrokecerebrovasdis.2018.07.038

Cited by 5 publications

(7 citation statements)

References 10 publications

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“…In our study, knowledge of stroke risk factors was lower than in Cotonou where over 1 third were able to rank hypertension as the most important risk factor [18], but it was higher in those with established risk factors as shown in some [23, 24] but not all [25] countries elsewhere. Although higher education, increasing age, and personal and family history of stroke have been associated with better knowledge [10, 25], several studies have shown no correlation of age and knowledge of stroke signs [14, 25] despite older people being more aware of their health, risk factors, and age-related diseases. The relation of stroke knowledge and higher education is well established [14, 25], where access to new information through modern technologies, including social networks, can maintain their knowledge about stroke and its treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Although higher education, increasing age, and personal and family history of stroke have been associated with better knowledge [10, 25], several studies have shown no correlation of age and knowledge of stroke signs [14, 25] despite older people being more aware of their health, risk factors, and age-related diseases. The relation of stroke knowledge and higher education is well established [14, 25], where access to new information through modern technologies, including social networks, can maintain their knowledge about stroke and its treatment.…”

Section: Discussionmentioning

confidence: 99%

“…In the western country of Benin, several studies have highlighted the high rates of stroke [4-8] and its consequences in terms of disability, depression, epilepsy, and restricted social participation [6-8]. Prevention is key to reducing the burden of stroke, with joint efforts required at individual and community levels, but low levels of stroke awareness have been highlighted in many populations [9-12], particularly in high-risk individuals [13] and regions of sub-Saharan Africa [14-17]. As an earlier study has shown low stroke knowledge in the population of Cotonou, the largest city and economic centre in the south of Benin [18], we undertook a survey to provide such information for the population of Parakou in the north.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge of Stroke Risk Factors and Signs in Parakou, a Northern City of Benin in West Africa

et al. 2021

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Introduction: We aimed to determine knowledge of stroke risk factors and signs in an urban population of northern Benin. Methods: A door-to-door purposeful sampling survey was conducted in resident population (age ≥15 years) of the district of Titirou in the city of Parakou (N = 255,478) in Benin between March 15 and July 15, 2016. In-person interviews were conducted with data collection on structured questionnaires with close and open questions, according to standard definitions. Multivariable logistic regression was used to assess predictors of good knowledge, defined by provision of a correct response in pre-defined set of questions on stroke risk factors and warning signs. Results: Of 4,671 participants (mean age 27.7 ± 12.9 years; females 50.6%), only 404 (8.6%) knew at least 1 stroke risk factor. Knowledge level of stroke risk factors (odds ratio, 95% confidence interval) was related to age (1.37, 1.27–1.48), level of education (2.54, 1.73–3.72), and family history of stroke (3.01, 2.08–4.26). Only 230 (4.9%) were able to cite at least 1 stroke symptom, and this knowledge was great with increasing age (1.04, 1.02–1.06), family (3.63, 2.41–5.49) and personal history of stroke (3.71, 1.86–7.42), and high level of education (4.35, 2.68–7.07). Conclusion: Knowledge of stroke risk factors and signs is low in northern Benin. Greater public education and awareness campaigns are required to address the burden of stroke.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Knowledge of Stroke Risk Factors and Signs in Parakou, a Northern City of Benin in West Africa

et al. 2021

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“…Intravenous tissue plasminogen activator (IVtPA) was proven to be beneficial for select acute ischemic patients presenting in <3 hours (or <4.5 h with additional treatment warnings) after symptom onset16; thus, abrupt recognition of stroke symptoms is of paramount importance. However, relevant knowledge on the acute symptoms and risk factors for stroke was documented to be insufficient in various populations 17–24. In the Philippines setting, about 2.5% of surveyed participants knew that stroke affects the brain and only 15% perceived stroke as an emergency according to the unpublished report by Parzuelo and colleagues (1998).…”

Section: Methodsmentioning

confidence: 99%

A Call for a Stroke Referral Network Between Primary Care and Stroke-Ready Hospitals in the Philippines

Espiritu

María

2021

The Neurologist

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Background: The increasing stroke burden, inequity in the distribution of local neurologists, and the recent signing of the Universal Health Care Law in the Philippines provide compelling reasons for policy-makers to devise strategies to establish networks between primary care and stroke-ready hospitals. In this review, we explored the current literature and evidence that emphasized the roles of primary care providers (PCPs) and specialists, care transition, and telemedicine/teleneurology in various stages of stroke management. Review Summary: Clear delegation of stroke care responsibilities among PCPs and specialists is needed. Due to the limited number of specialists/neurologists, PCPs may contribute to addressing the insufficiency of community knowledge of acute stroke symptoms/risk factors, coordination with specialists and stroke-ready hospitals during acute stroke, and continuity of care during the poststroke stage. At present, the Philippines has only 49 stroke-ready hospitals; thus, an efficient and functional referral system for the care transition between the PCPs and specialists must be organized in our country. To provide remote access to expert stroke care for underserved areas and to increase thrombolysis utilization, the establishment of an effective telestroke system is indispensable. The empowerment of PCPs in teleneurology may assist in strengthening communication and networking with specialists with the ultimate goal of improving patient outcomes. Conclusions: In the era of Universal Health Care in the Philippines, the roles of PCP and specialists must be delineated. Increased access to stroke care through the establishment of networks among PCPs and stroke-ready hospitals (ie, via effective transition of care/teleneurology) must be prioritized especially in resource-constrained settings.

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“…Verificou-se, na primeira, maior conhecimento sobre essa temática, justificada pela melhor relação médico-paciente. Todavia, pesquisa desenvolvida na Nigéria, no ano de 2018, evidenciou nível de conhecimento desanimador sobre os sinais e sintomas pela população rural, o que, segundo os autores, poderia ser decorrente do acesso restrito à informação e à educação (Chukwudelunzu et al, 2018). Notabiliza-se, assim, o importante papel dos profissionais de saúde como disseminadores de informações relativas à prevenção de doenças, sobretudo nas comunidades rurais, o que favorece o autocuidado oportunizado mediante literacia em saúde.…”

Section: Reconhecimento Dos Fatores De Risco Do Avc Pela População Leigaunclassified

Reconhecimento dos sinais e sintomas e dos fatores de risco do acidente vascular cerebral por leigos: uma revisão integrativa

Moita

Cardoso

Guimarães

et al. 2021

RSD

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Objetivo: Investigar o nível de conhecimento dos leigos acerca da identificação dos sinais e sintomas e dos fatores de risco referentes ao AVC. Materiais e métodos: Foi realizada pesquisa bibliográfica em bases de dados internacionais, sendo selecionados 9 estudos publicados entre os anos de 2017 e 2021, compreendendo os idiomas inglês e português. Resultados: Ao analisar os artigos elencados, percebeu-se que a maioria fez uso de questionário como instrumento de coleta de dados (88,9%) e entrevistas presenciais (66,7%). Com relação aos sinais e sintomas, os principais abordados pelos estudos foram: fraqueza ou formigamento na face, no braço ou na perna; confusão, alteração da fala ou compreensão da linguagem; alteração na visão e dor de cabeça súbita, intensa e sem causa aparente. Quanto aos fatores de risco, os mais abordados foram hipertensão e tabagismo. Conclusões: Percebeu-se que o nível de conhecimento dos leigos acerca da identificação dos sinais e sintomas e fatores de risco do AVC não é satisfatório, devido ao baixo nível educacional dos participantes, poucas campanhas educativas e diminuto vínculo entre os usuários e as equipes interdisciplinares de saúde.

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Knowledge of Stroke Signs and Symptoms Among Residents in a Rural South Eastern Nigerian Community

Cited by 5 publications

References 10 publications

Knowledge of Stroke Risk Factors and Signs in Parakou, a Northern City of Benin in West Africa

Knowledge of Stroke Risk Factors and Signs in Parakou, a Northern City of Benin in West Africa

A Call for a Stroke Referral Network Between Primary Care and Stroke-Ready Hospitals in the Philippines

Reconhecimento dos sinais e sintomas e dos fatores de risco do acidente vascular cerebral por leigos: uma revisão integrativa

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