Patients’ Awareness of Stroke Signs, Symptoms, and Risk Factors

Kothari, Rashmi; Sauerbeck, Laura; Jauch, Edward C.; Broderick, Joseph P.; Brott, Thomas G.; Khoury, Jane; Liu, Tiepu

doi:10.1161/01.str.28.10.1871

Cited by 301 publications

(301 citation statements)

References 6 publications

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“…Unilateral paresthesia was the most recognized symptom by both groups in our study, which does not agree with previous studies, in which unilateral weakness was the most frequently noted warning symptom [5][6][7] . In our survey, unilateral weakness was the third most common symptom recognized by the park group and the sixth by the cardiologic group.…”

Section: Discussioncontrasting

confidence: 98%

“…Previous studies have addressed the issue related to public awareness of stroke symptoms and signs, risk factors and severity [5][6][7][8] . however, we could not find any study that compared the perception of stroke among a community-based sample and risk populations, especially cardiovascular disease patients.…”

Section: Discussionmentioning

confidence: 99%

“…segura et al demonstrated that only 10.5% of the participants achieved suitable stroke knowledge 6 . In addition, Kothari et al interviewed 163 patients admitted from the emergency department with possible stroke and showed that these patients also have a poor awareness of stroke 7 . They also showed that older patients are less likely to know signs, symptoms and risk factors of stroke.…”

Section: Discussionmentioning

confidence: 99%

“…It is assumed that patient eligibility can be increased with a better public knowledge of stroke signs and symptoms 5 . Previous studies have addressed the issue related to public awareness of stroke symptoms, signs and risk factors [5][6][7][8] . Most of them showed a poor public knowledge of stroke.…”

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Stroke awareness among cardiovascular disease patients

Coelho

Freitas²,

Campos³

et al. 2008

Arq. Neuro-Psiquiatr.

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-Background: The early recognition of stroke signs and symptoms is of great relevance concerning the outcome, since it enhances the chances of thrombolytic therapy use. Purpose: To compare the knowledge of stroke among a community-based sample and patients treated in a cardiologic clinic. Method: We applied a questionnaire during one morning to people who were walking in a park (Pa) and spontaneously stopped at a health tent and during one week to patients of a cardiologic clinic (Ca). The survey assessed demographic details, awareness of stroke symptoms and signs, risk factors and general concepts of stroke. Results: A total of 222 questionnaires were answered, 109 by the cardiologic clinic group and 113 by the park group. The park group recognized better three associated symptoms: headache (Ca: 39%; Pa: 61%; p: 0.001), loss of vision (Ca: 15.8%; Pa: 30.9%; p: 0.007) and unilateral paralysis/weakness (Ca: 26%; Pa: 41%; p: 0.026). The park group recognized better 3 risk factors: diabetes (Ca: 22.9%; Pa: 37.2%; p: 0.021), smoking (Ca: 51.4%; Pa: 67.2%; p: 0.011) and high cholesterol (Ca: 54.1%; Pa: 69.9%; p: 0.015). Conclusion: Our results suggest that patients treated in a cardiologic clinic do not show a better knowledge of stroke when compared to a community-based sample. Campaigns to increase stroke knowledge can have a great impact on public health, especially among enhanced risk groups, such as cardiovascular patients.Key WOrds: stroke awareness, public perception, lay knowledge. nível de conhecimento sobre acidente vascular cerebral entre pacientes de uma clínica cardiológica.Resumo -Fundamento: O reconhecimento precoce dos sinais e sintomas de um acidente vascular cerebral (AVC) é relevante no prognóstico do paciente, pois aumenta a chance do uso da terapia trombolítica. Objetivo: Avaliar o conhecimento sobre AVC entre uma amostra de pacientes tratados em uma clínica cardiológica, comparando-o com o de uma amostra da população freqüentadora de um parque recreativo. Método: Aplicamos um questionário estruturado acerca de conhecimentos gerais sobre AVC a pacientes de uma clínica cardiológica durante uma semana. Aplicamos o mesmo questionário numa única manhã a freqüentadores de um parque recreativo que paravam espontaneamente em um stand de informações sobre saúde. Além de dados demográficos, o questionário avaliava conhecimento sobre sintomas e sinais de AVC, fatores de risco e conceitos gerais sobre a doença. Resultados: Foram respondidos 222 questionários, 109 pelo grupo da clínica de cardiologia (Ca) e 113 pelo grupo do parque (Pa). O grupo do parque reconheceu melhor três sintomas: cefaléia (Ca: 39%; Pa: 61%; p: 0,001), déficit visual (Ca: 15,8%; Pa: 30,9%; p: 0,007) e hemiparesia (Ca: 26%; Pa: 41%; p: 0,026). O grupo do parque associou melhor três fatores de risco ao AVC: diabetes (Ca: 22,9%; Pa: 37,2%; p: 0,021), tabagismo (Ca: 51,4%; Pa: 67,2%; p: 0,011) e colesterol alto (Ca: 54,1%; Pa: 69,9%; p: 0,015). Conclusão: Nossos resultados sugerem que pacientes tratados em uma clínica cardiológic...

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Section: Discussioncontrasting

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Stroke awareness among cardiovascular disease patients

Coelho

Freitas²,

Campos³

et al. 2008

Arq. Neuro-Psiquiatr.

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“…Numerous previous public stroke education programs have taken a multifaceted approach, combining mass media and other techniques to educate the public, as well as to train paramedics and physicians. [17][18][19]26,32,33 The high cost of mass media campaigns limits their availability, however. Television viewing habits vary among demographic groups, 34,35 and it is possible that mass media campaigns might not reach the population as a whole.…”

Section: Discussionmentioning

confidence: 99%

Stroke Knowledge in an Irish Semi-Rural Community-Dwelling Cohort and Impact of a Brief Education Session

O'Callaghan

Murphy

Loane

et al. 2012

Journal of Stroke and Cerebrovascular Diseases

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Treating Ischemic Stroke as an Emergency

Adams

1998

Arch Neurol

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The success of treatment with tissue plasminogen activator serves as an impetus to approach stroke as a medical emergency; diagnosis and treatment must be accurate and prompt. The initial evaluation should be straightforward and aimed at confirming ischemic stroke as the cause of the patient's acute neurologic impairments. Until the usefulness of diagnostic tests to demonstrate an arterial occlusion is established in emergent management, their application before treatment should not be mandated. Most individuals with acute ischemic stroke will receive their initial, key treatment in a community setting. Thus, strategies for emergent treatment should aim at management of patients whose strokes are diagnosed and first treated by emergency treatment and primary care physicians with the collaboration of neurologists.

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Patients’ Awareness of Stroke Signs, Symptoms, and Risk Factors

Abstract: Almost 40% of patients admitted with a possible stroke did not know the signs, symptoms, or risk factor of a stroke. Further public education is needed to increase awareness of the warning signs and risk factors of stroke.

Cited by 301 publications

References 6 publications

Stroke awareness among cardiovascular disease patients

Stroke awareness among cardiovascular disease patients

Stroke Knowledge in an Irish Semi-Rural Community-Dwelling Cohort and Impact of a Brief Education Session

Treating Ischemic Stroke as an Emergency

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