Perception of stroke in Croatia – knowledge of stroke signs and risk factors amongst neurological outpatients

Vuković, Vlasta; Mikula, Ivan; Kesić, Miljenka; Bedeković, Marina Roje; Morović, Sandra; Lovrenčić-Huzjan, Arijana; Demarin, Vida

doi:10.1111/j.1468-1331.2009.02652.x

Cited by 13 publications

(35 citation statements)

References 26 publications

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“…This improved awareness could be due to an education program performed after the first study. The awareness of cardiac arrhythmia as a cause of stroke was rather poor in our patients (8.4%), though this is twice as high as the rate reported in 2000; this rate is lower than that reported in Croatian (39%) and Swedish (49.5%) studies [19,21]. The awareness of diabetes mellitus as a risk factor was moderate and also improved in comparison to 2000 (34.2 vs. 4.4%).…”

Section: Discussioncontrasting

confidence: 45%

“…A smaller percentage knew that smoking and hypercholesterolemia are stroke risk factors (65.1 and 68.8%, respectively). This result was rather poor compared to nearly 90% of Swedish patients [19] but better than that reported from Croatia where smoking was identified as a risk factor for stroke by 58.9% of respondents [21]. The level of knowledge concerning hypertension and smoking in Poland was worse in a study performed in 2000 among nonstroke patients, where 27.9 and 6.1% recognized these risk factors, respectively [22].…”

Section: Discussionmentioning

confidence: 75%

“…In 2000, 43.9% of 180 nonstroke patients in Poland knew that weakness of any limbs and slurred speech can be warning signs of stroke. Improved awareness of these cardinal stroke symptoms in this study was minimal (10.6 and 4.1%, respectively) [21]. Litwin et al [28] and other researchers highlight the fact that better awareness of early stroke symptoms can lead to an increased number of patients treated with rt-PA [8,9,10,11,17,28,29,30,31,32].…”

Section: Discussionmentioning

confidence: 99%

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Knowledge of Risk Factors and Stroke Symptoms among Nonstroke Patients

Wiszniewska¹,

Głuszkiewicz

Kobayashi

et al. 2012

Eur Neurol

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Background and Purpose: This study aimed to evaluate knowledge of stroke warning signs, risk factors, treatment and prevention among patients not suffering from stroke. Methods: Patients admitted to one of five Neurology Departments in Poland for diseases other than stroke were asked to answer a questionnaire regarding awareness of cerebrovascular risk factors and stroke. The study was performed between November 1 and December 31,2008. Results: 481 patients were included in the study (59.7% women). Proper definition of stroke and transient ischemic attack was given by 90.3 and 60.5% of respondents, respectively. Hypertension was reported as a risk factor by 91.1% of participants. Approximately 70% knew that hypercholesterolemia and smoking are risk factors of stroke, but only one third identified diabetes mellitus as a risk factor. Cardiac arrhythmia was recognized as a risk factor by 8.4%. Twenty-five percent of participants did not know any symptom of stroke. Identification of stroke signs was worse by participants from rural areas. Ten percent identified disturbances of consciousness, numbness, and dizziness as stroke symptoms. Conclusions: The knowledge of fundamental risk factors was sufficiently good, but recognition of cardiac arrhythmia and diabetes mellitus was unsatisfactory. The knowledge of stroke symptoms was unsatisfactory, particularly in rural areas. Additional education programs are necessary.

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Section: Discussioncontrasting

confidence: 45%

Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

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Knowledge of Risk Factors and Stroke Symptoms among Nonstroke Patients

Wiszniewska¹,

Głuszkiewicz

Kobayashi

et al. 2012

Eur Neurol

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“…Numerous studies using different methods (telephone interviews, face-to-face questioning, internet-based surveys, etc.) have confirmed low public awareness of stroke warning signs and stroke risk factors which contribute to late arrival and limited use of thrombolysis [9,13,14,15,16,17,18,19,20,21]. A recent study of risk factor awareness among stroke survivors showed that older patients and those with excellent recovery are at risk for poor awareness even after stroke [22].…”

Section: Introductionmentioning

confidence: 99%

Stroke Awareness in Two Estonian Cities: Better Knowledge in Subjects with Advanced Age and Higher Education

Vibo

Kõrv²,

Väli³

et al. 2012

Eur Neurol

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Objectives: This study was undertaken to assess stroke awareness of the Estonian population. Methods: Investigators were asked to fill in an original, closed-ended multiple-choice questionnaire about the definition, risk factors, symptoms and behavior at the onset of stroke by randomly selected subjects in public places of the two biggest cities in Estonia (Tallinn and Tartu). Results: The study included 355 persons. Most of the respondents knew that stroke is an acute disease and that one should call the ambulance at the onset of a stroke. Speech disorder and paresis were the best known symptoms, while hypertension was the best known risk factor. There were no differences between the sexes, but advanced age and higher level of education were related to higher awareness. Conclusions: The overall knowledge was better compared to many other studies. Future awareness campaigns should be addressed to younger subjects with lower education.

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“…1 Life events and subsequent psychological stress are often regarded as being important causes of SAH (like in other illnesses) by patients, their families and sometimes, clinicians. 2,3 However, little evidence is available for the association between life events and SAH. 4,5 We aimed to determine the relationship between major adverse life events and the risk of SAH in a population-based casecontrol setting.…”

mentioning

confidence: 99%

Life Events and Risk of Subarachnoid Hemorrhage

Shiue

Arima

Anderson

2010

Stroke

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Background and Purpose-Because little evidence exists and the topic often raises concerns, we aimed to determine the relationship between life events and subarachnoid hemorrhage (SAH) in a population-based case-control setting. Methods-In 388 SAH incident cases and 473 frequency-matched community SAH-free control subjects, information on the occurrence of 12 types of adverse life events in the preceding 1 and 2 to 12 months was obtained by interview using a questionnaire based on the Social Behavior Assessment Schedule. Analyses involved logistic regression models with adjustment for confounding variables. Results-Among 12 life events, only 2 ("financial/legal problems" and "other") in the past month were marginally associated with SAH (Pϭ0.04 and 0.03, respectively), whereas "physical attack/assault" and "injury/disease of a relative/friend/pet" during the past 2 to 12 months also showed similarly marginally significant and imprecise associations (inversely) with SAH. There were no clear associations between multiple life events and SAH for both the prior month and 2 to 12 months (both PϾ0.4). Conclusions-Life

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Perception of stroke in Croatia – knowledge of stroke signs and risk factors amongst neurological outpatients

Abstract: The results of this study indicate that respondents showed a fair knowledge about stroke signs and risk factors for stroke. The results of our study will help to create and plan programmes for improvement of public health in Croatia.

Cited by 13 publications

References 26 publications

Knowledge of Risk Factors and Stroke Symptoms among Nonstroke Patients

Knowledge of Risk Factors and Stroke Symptoms among Nonstroke Patients

Stroke Awareness in Two Estonian Cities: Better Knowledge in Subjects with Advanced Age and Higher Education

Life Events and Risk of Subarachnoid Hemorrhage

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