Stroke Systems of Care and Impact on Acute Stroke Treatment

Czap, Alexandra L; Harmel, Peter; Audebert, Heinrich J.; Grotta, James C.

doi:10.1016/b978-0-323-69424-7.00051-x

Cited by 1 publication

(6 citation statements)

References 146 publications

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“…Similarly, a comparative study of risk factors in young adults and older adult stroke patients in Sudan reported that arterial hypertension was the dominant risk factor among young adults and the older adult, followed by smoking ( 30 ). As well as previous studies conducted in Lebanon revealed that hypertension and psychological stress were among the most reported risk factors as well ( 28 ), in Jordan ( 8 ), Saudi ( 29 ), UAE ( 26 ), and Iraq ( 27 ).…”

Section: Discussionsupporting

confidence: 73%

“…As for the risk factors, there are several modifiable and non-modifiable risk factors associated with stroke, including age, race, hypertension, diabetes, and many more ( 24 ), which are becoming more prevalent among the Sudanese community according to the stepwise approach to surveillance survey of 2005 (STEPS) ( 25 ). In our study, 96.3% of 410 participants identified at least one associated risk factor for stroke compared to previous published studies in the last 3 years, which reported in the UAE (99.8%, n = 545), Saudi Arabia (99.5%, n = 398), Jordan (98.1%, n = 573), Lebanon (97.8%, n = 551), and Iraq (85.6%, n = 609) ( 8 , 26–29 ).…”

Section: Discussionmentioning

confidence: 65%

“…Considering recent studies in the Middle East region to our study results, the aware that stroke is a type of brain disease were various among the participants with the highest in Jordan and Lebanon with more than 95.0% of the participants (28), then Iraq (92.8%) (27), Saudi Arabia (89.7%) (29), and the UAE (70.8%) (26), while the results of our studies indicated that 93.2% of the participants. In related to the participants' awareness of stroke is preventable, the results reported by the participants were also various among the countries, with the highest in Iraq (85.6%) (27), then our Sudan sample with 83.4%, then Jordan and Saudi Arabia with 81.0% (8,29), Lebanon (80.0%) (28), and the UAE (42.9%) (26).…”

Section: Discussionmentioning

confidence: 94%

“…In agreement with our study findings, other studies reported similar results (32-35). On the other hand, better knowledge of stroke warning signs among males was reported as well (8,27). Based on the literature, the lack of consistency in the results of different studies makes it ambiguous to call for a clear association between gender differences and knowledge of stroke warning signs and risk factors (8,27).…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, stroke risk factors were found to be higher in poor socioeconomic level societies. Nonetheless, community stroke awareness programs are one of the several components that is considered absolutely necessary for stroke care ( 8 ). The outcome of stroke can be greatly improved through early detection, prompt transfer to medical care, and implementation of appropriate medical therapy ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

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Stroke awareness and knowledge in Sudan: a cross-sectional analysis of public perceptions and understanding

Eltayib,

Jirjees,

Suliman

et al. 2024

Front. Public Health

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IntroductionStroke, a leading cause of morbidity and mortality globally, demands heightened awareness and knowledge for effective preventive strategies and tailored response. Sudan is classified as a low income country with a low rate of literacy, lack of knowledge, and awareness about diseases. Thus, this study aimed to assess stroke awareness and knowledge among Sudanese population, and identify the associated factors influencing awareness.MethodsA cross-sectional study conducted between October and November 2022 through a self-administered online survey distributed via various social media platforms. The study involved adults aged 18 years and above through snow-ball sampling technique. The survey covered general awareness and knowledge concerning stroke risk factors, consequences, and the appropriate responses taken during acute stroke attacks.ResultsA total of 410 participants were enrolled in the study, majority (93.4%) were from urban area and had university degree (92.4%). Furthermore, 92.2% were aware about stroke and 74.9% were able to recognize the symptoms of stroke. Only 40.2% identified all correct answers, 96.3, 92.3, and 95.1% recognized at least one risk factor, early symptom, and consequences, respectively. Females were significantly more than males able to identify at least one risk factor. Almost all participants (99.5%) perceived stroke as a serious disease (99.5%). Notably, 86.3% would promptly transport a suspected stroke patient to the hospital. The multivariable analysis showed that females versus males and patients with depression versus without depression had significantly higher odds to identify at least one risk factor (OR of 14.716 [95% CI 1.901; 113.908] and 0.241 [95% CI 0.059; 0.984], respectively).ConclusionThe study concluded that stroke knowledge and awareness among Sudanese population is suboptimal. Furthermore, early stroke recognition and intake of the appropriate management strategies are lacking which highlights the need for targeted education and awareness campaigns.

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