Awareness of stroke risk factors and warning signs in southern Brazil

Falavigna, Asdrúbal; Teles, Alisson Roberto; Vedana, Viviane; Kleber, Fabrício Diniz; Mosena, Gabriela; Velho, Maíra Cristina; Mazzocchin, Thaís; Silva, Roberta Castilhos da; Lucena, Luzia Fernanda; Santin, Juliana Tosetto; Roth, Felipe

doi:10.1590/s0004-282x2009000600022

Cited by 33 publications

(41 citation statements)

References 19 publications

(23 reference statements)

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“…It has been reported that people with low levels of education and income have less knowledge about stroke, even among those who have experienced a previous event or who have had a family historyof stroke 34,35 . Previous studies performed in Brazil reinforce our findings about the relationship between socioeconomic and functional outcome 36,37 . Moreover, low levels of education may interfere with treatment adherence and medical recommendations.…”

Section: Risk Factors (Variables)supporting

confidence: 90%

Educational levels and the functional dependence of ischemic stroke survivors

et al. 2012

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Section: Risk Factors (Variables)supporting

confidence: 90%

Educational levels and the functional dependence of ischemic stroke survivors

et al. 2012

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“…However patients aware of stroke therapeutic time window had a trend towards a higher household income. Most studies from developed and underdeveloped countries have found that knowledge about stroke varies positively with income and education 6,7,15,16 . The lack of association between household income and stroke symptoms awareness in our patients might be explained by the homogeneously low educational level and socioeconomic status of the population we evaluated.…”

Section: Discussionmentioning

confidence: 99%

“…A previous community-based study has shown alarming lack of awareness about stroke in Brazil. Most of the studies evaluating knowledge about stroke symptoms in the country have been conducted in the general population 6,7,8 . Little is known about stroke patients' awareness about stroke warning signs and its therapeutic time window and how these factors influence the timing of seeking for medical care in Brazil.…”

mentioning

confidence: 99%

The influence of patient’s knowledge about stroke in Brazil: a cross sectional study

Panício

Mateus

Ricarte

et al. 2014

Arq. Neuro-Psiquiatr.

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Little is known about stroke patients' awareness about the warning signs of stroke and its therapeutic time window in Brazil. Method: We interviewed consecutive patients with acute stroke admitted to a terciary public hospital in Brazil. Data collected included demographics, mode of arrival, National Institutes of Health Stroke Scale (NIHSS) scores and knowledge of stroke warning signs and therapeutic time window. Early arrival was defined as within 4.5 hours of symptoms onset. Results: Although 66.2% of patients knew the warning signs of stroke, only 7.8% reported to know that stroke had a limited therapeutic time window. Stroke severity measured by the NIHSS was independently associated with early arrival, but not knowledge of stroke signs and symptoms. Conclusion: Knowledge about stroke symptoms was not a predictor of early arrival.Keywords: stroke, public awareness, knowledge. RESUMOPouco se sabe sobre o conhecimento dos pacientes com acidente vascular cerebral (AVC) acerca dos sinais de alarme da doença e sua janela terapêutica no Brasil. Método: Foram entrevistados consecutivamente os pacientes com AVC agudo internados em um hospital público terciário no Brasil. Os dados coletados incluíram dados demográficos, o modo de chegada, escala de AVC do National Institute of Health (NIH) e conhecimento sobre a janela de tempo terapêutica e os sinais de alerta do AVC através de um questionário padronizado. Chegada precoce foi definida como aquela dentro de 4,5 horas do início dos sintomas. Resultados: Embora 66,2% dos pacientes sabiam os sinais de alerta do AVC , apenas 7,8% relataram saber que a doença tinha uma janela de tempo terapêutica limitada. A gravidade do AVC avaliada pela escala do NIH foi preditora de chegada precoce, mas conhecimento acerca dos sinais e sintomas do AVC não foram. Conclusão: O conhecimento acerca dos sintomas do AVC não foi preditivo de chegada precoce ao hospital.Palavras-chave: acidente vascular cerebral, sensibilização pública, conhecimento.Stroke is a major public health problem and the leading cause of mortality in Brazil. In 2005, 10% of all deaths in the country (90,006 deaths) as well as 10% of all public hospital admissions were due to stroke 1,2 . Intravenous thrombolytic therapy for ischemic stroke was approved in Brazil in 2001 but the number of patients who have access to stroke reperfusion therapies remains low, despite the advances in stroke treatment in the country 3 . Early hospital presentation is a prerequisite for successful management of acute ischemic stroke 4 . Many factors contribute to delays in seeking for treatment for acute stroke. However, the most important is lack of public awareness regarding stroke symptoms and the need for a rapid response 5 . A previous community-based study has shown alarming lack of awareness about stroke in Brazil. Most of the studies evaluating knowledge about stroke symptoms in the country have been conducted in the general population 6,7,8 . Little is known about stroke patients' awareness about stroke warning signs and i...

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“…Mansur (2011) indicated that the percentage of individuals that could identify at least one sign/symptom of stroke varied from 25% to 79.9%. Other studies show that knowledge about initial signs and symptoms of stroke amongst the general populations is low (FALAVIGNA et al, 2009;SILVA et al, 2012;OBEMBE et al, 2014;PONTES NETO, 2014). Moreover, individuals with the least severe cases, and therefore those with better prognosis, tend to delay in seeking medical care, losing the therapeutic window which is paramount for a positive outcome in the natural evolution of the disease (COSTA et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

University students' knowledge and perceived adequate conduct in cases of acute stroke

Monteleone¹,

Pramio²,

Silva³

et al. 2018

Biosci. J.

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ABSTRACT:The ability of the general population to recognize the initial symptoms of acute stroke is important for the prevention of neurological damage. The objective of this study was to investigate the knowledge held by university students in health fields and what they perceived was adequate conduct after recognizing that someone is having an acute stroke. The students took a semi-structured, two-part questionnaire, with the first part referring to social and demographic data and the second containing a description of stroke's typical clinical presentation and open-ended questions about it. Of the participants, 86.24% were able to recognize stroke. When comparing the initial and final years, the students in their final years had approximately a 10% increase in stroke recognition. Regarding the perceived correct conduct, it was observed that 84.60% of the students in the initial years would have the right conduct compared to 89.32% of the students in the final years. Even though a high percentage of students demonstrated some knowledge about stroke it is important that we aspire to further educate them about the subject, enabling them to eventually contribute to the general population's education and to promote health.

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Awareness of stroke risk factors and warning signs in southern Brazil

Cited by 33 publications

References 19 publications

Educational levels and the functional dependence of ischemic stroke survivors

Educational levels and the functional dependence of ischemic stroke survivors

The influence of patient’s knowledge about stroke in Brazil: a cross sectional study

University students' knowledge and perceived adequate conduct in cases of acute stroke

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