Public Awareness of Early Symptoms of Stroke and Information Sources about Stroke among the General Japanese Population: The Acquisition of Stroke Knowledge Study

Miyamatsu, Naomi; Okamura, Tomonori; Nakayama, Hirofumi; Toyoda, Kazunori; Suzuki, Kazuhiro; Toyota, Akihiro; Hata, Takashi; Hozawa, Atsushi; Nishikawa, Tomofumi; Morimoto, Akira; Ogita, Mihoko; Morino, Ayumi; Yamaguchi, Takenori

doi:10.1159/000347066

Cited by 34 publications

(38 citation statements)

References 20 publications

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“…The symptom that was least recognized was amaurosis fugax, which was present only in 15%; this is similar to what other studies have found [26]. Extrapolating these data to patients insured by INSSJP from Buenos Aires would suggest that 270,000 people might not be able to identify early symptoms of stroke.…”

Section: Discussionsupporting

confidence: 83%

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Do Elderly Patients Call 911 When Presented with Clinical Scenarios Suggestive of Acute Stroke? A Cross-Sectional Study

Caruso

Akly²,

Costantini³

et al. 2015

Cerebrovasc Dis

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Background and Purpose: Among patients with acute stroke symptoms, delay in hospital admission is the main obstacle for the use of thrombolytic therapy and other interventions associated with decreased mortality and disability. The primary aim of this study was to assess whether an elderly clinical population correctly endorsed the response to call for emergency services when presented with signs and symptoms of stroke using a standardized questionnaire. Methods: We performed a cross-sectional study among elderly out-patients (≥60 years) in Buenos Aires, Argentina randomly recruited from a government funded health clinic. The correct endorsement of intention to call 911 was assessed with the Stroke Action Test and the cut-off point was set at ≥75%. Knowledge of stroke and clinical and socio-demographic indicators were also collected and evaluated as predictors of correct endorsement using logistic regression. Results: Among 367 elderly adults, 14% correctly endorsed intention to call 911. Presented with the most typical signs and symptoms, only 65% reported that they would call an ambulance. Amaurosis Fugax was the symptom for which was called the least (15%). On average, the correct response was chosen only 37% of the time. Compared to lower levels of education, higher levels were associated to correctly endorsed intention to call 911 (secondary School adjusted OR 3.53, 95% CI 1.59-7.86 and Tertiary/University adjusted OR 3.04, 95% CI 1.12-8.21). Conclusions: These results suggest the need to provide interventions that are specifically designed to increase awareness of potential stroke signs and symptoms and appropriate subsequent clinical actions.

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Section: Discussionsupporting

confidence: 83%

“…30% of patients could not identify a single symptom suggestive of stroke. We found no association between knowing the risk factors or warning signs and appropriately endorsing calling 911 [18,26]. …”

Section: Discussionmentioning

confidence: 99%

Do Elderly Patients Call 911 When Presented with Clinical Scenarios Suggestive of Acute Stroke? A Cross-Sectional Study

Caruso

Akly²,

Costantini³

et al. 2015

Cerebrovasc Dis

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“…In a population-based structured telephone survey of Japanese adults, 23% were able to correctly identify 5 early signs of stroke from among 10 listed symptoms with decoy choices [53]. A survey of high school students from Sargodha, Pakistan revealed a greater understanding of stroke symptoms among female students (61 vs. 30%).…”

Section: Resultsmentioning

confidence: 99%

Implications of Female Sex on Stroke Risk Factors, Care, Outcome and Rehabilitation: An Asian Perspective

2015

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Background: Stroke affects 16.9 million people annually and the greatest burden of stroke is in low- and middle-income countries, where 69% of all strokes occur. Stroke risk factors, mortality and outcomes differ in developing countries as compared to the developed world. We performed a literature review of 28 articles pertaining to epidemiology of stroke in Asian women, stroke risk factors, gender-related differences, and stroke outcomes. Summary: Asian women differ from women worldwide due to differences in stroke awareness, risk factor profile, stroke subtypes, and social issues that impact stroke care. While Asian men have a higher incidence of stroke as compared to women overall, the long- and short-term outcomes in Asian women tend to be poorer. Both conventional and gender-specific risk factors contribute to stroke risk. Oral contraceptive use and addictions such as tobacco and alcohol are less prevalent among Asian women due to socio cultural differences. There is however, a much higher preponderance of pregnancy-related stroke and cardio-embolic stroke secondary to rheumatic heart disease and heavy use of chewing tobacco. The overall outcome is poor due to poor access to health care and lack of resources. Key Messages: Our review exposed the gaps in our knowledge about stroke risk factors and differences in stroke care provided to Asian women. While there are sociocultural barriers that impede the provision of immediate care to these stroke patients, much needs to be done by way of prevention of recurrent stroke and treatment of risk factors.

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“…It has been reported that intermittent long-term intervention was effective in increasing the knowledge about early symptoms of stroke, but short-term intervention was less effective. 16 Multimedia campaigns are powerful for improving the knowledge about stroke, [9][10][11][12][13] and nowadays there are many healthcare programs and news bulletins of recent medical breakthroughs on television. It can be possible to negotiate with the producers of these programs, but many television campaigns usually require content to be produced on a commercial basis, and are bound by audience ratings.…”

Section: Discussionmentioning

confidence: 99%

“…13 Of 5509 individuals who agreed to participate in the postintervention survey, 3926 individuals responded to the postintervention mailed survey. In consequence, a response rate was 71.3% in total, 73.8% (1719/2329) in the intensive intervention area, 71.4% (1116/1562) in the moderate intervention area, and 67.4% (1091/1618) in the control area (P<0.001 for χ 2 test).…”

Section: Participantsmentioning

confidence: 99%

Effects of Intensive and Moderate Public Education on Knowledge of Early Stroke Symptoms Among a Japanese Population

Morimoto

Miyamatsu

Okamura³

et al. 2013

Stroke

Self Cite

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Background and Purpose— To assess the effects of intensive and moderate public education on knowledge of early stroke symptoms among a general Japanese population. Methods— Information on early stroke symptoms was distributed by leaflet 12× and by booklet twice in an intensive intervention area >22 months, and by leaflet and booklet once each in a moderate intervention area. No distribution occurred in the control area. Before and after the intervention, a mailed survey was conducted in the 3 areas. A total of 2734 individuals, aged 40 to 74 years, who did not select all 5 correct symptoms of stroke in the preintervention survey were eligible for our analysis. Results— The numbers of correct answers selected about stroke symptoms did not differ significantly among the 3 areas in the preintervention survey ( P =0.156). In the postintervention survey, the proportions of participants who selected sudden 1-sided numbness or weakness (94.2% in the intensive intervention area, 88.3% in the moderate intervention area, and 89.2% in the control area; P <0.001) and sudden severe headache (76.8%, 70.1%, and 70.4%, respectively; P <0.001) differed significantly among the 3 areas. After adjustment for confounding factors, the multivariable-adjusted odds ratios (95% confidence intervals) for correctly choosing all 5 symptoms were 1.35 (1.07–1.71) in the intensive intervention area and 0.96 (0.74–1.24) in the moderate intervention area compared with the control area. Conclusions— Our findings suggest that frequent distribution of leaflets and booklets significantly improved the short-term knowledge of community residents about early symptoms of stroke.

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Public Awareness of Early Symptoms of Stroke and Information Sources about Stroke among the General Japanese Population: The Acquisition of Stroke Knowledge Study

Cited by 34 publications

References 20 publications

Do Elderly Patients Call 911 When Presented with Clinical Scenarios Suggestive of Acute Stroke? A Cross-Sectional Study

Do Elderly Patients Call 911 When Presented with Clinical Scenarios Suggestive of Acute Stroke? A Cross-Sectional Study

Implications of Female Sex on Stroke Risk Factors, Care, Outcome and Rehabilitation: An Asian Perspective

Effects of Intensive and Moderate Public Education on Knowledge of Early Stroke Symptoms Among a Japanese Population

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