Impact of the Swedish National Stroke Campaign on stroke awareness

Nordanstig, Annika; Asplund, Kjell; Norrving, Bo; Wahlgren, Nils; Wester, Per; Rosengren, Lars

doi:10.1111/ane.12777

Cited by 27 publications

(32 citation statements)

References 15 publications

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“…A systematic review including seven of these instruments did not support improved accuracy for any of the tests compared with the others . The most commonly used is the FAST test, which has also been used in public stroke education campaigns . The test has previously shown a sensitivity ranging from 79% to 97% and a specificity of 13%‐88%.…”

Section: Discussionmentioning

confidence: 98%

Prehospital assessment of suspected stroke and TIA: An observational study

et al. 2019

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Background Symptoms related to stroke diverge and may mimic many other conditions. Aims To evaluate clinical findings among patients with a clinical suspicion of stroke in a prehospital setting and find independent predictors of a final diagnosis of stroke or transient ischemic attack (TIA). Methods An observational multicenter study includes nine emergency hospitals in western Sweden. All patients transported to hospital by ambulance and in whom a suspicion of stroke was raised by the emergency medical service clinician before hospital admission during a four‐month period were included. Results Of 1081 patients, a diagnosis of stroke was confirmed at hospital in 680 patients (63%), while 69 (6%) were diagnosed as TIA and 332 patients (31%) received other final diagnoses. In a multiple logistic regression analysis, factors independently associated with a final diagnosis of stroke or TIA were increasing age, odds ratio (OR) per year: 1.02, P = 0.007, a history of myocardial infarction (OR: 1.77, P = 0.01), facial droop (OR: 2.81, P < 0.0001), arm weakness (OR: 2.61, P < 0.0001), speech disturbance (OR: 1.92, P < 0.0001), and high systolic blood pressure (OR: 1.50, P = 0.02), while low oxygen saturation was significantly associated with other diagnoses (OR: 0.41, P = 0.007). More than half of all patients among patients with both stroke/TIA and other final diagnoses died during the five‐year follow‐up. Conclusions Seven factors including the three symptoms included in the Face Arm Speech Test were significantly associated with a final diagnosis of stroke or TIA in a prehospital assessment of patients with a suspected stroke.

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Section: Discussionmentioning

confidence: 98%

Prehospital assessment of suspected stroke and TIA: An observational study

et al. 2019

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“…The decrease in stroke incidence in our study was most prominent among patients ≥65 years, which may also be related to increased use of oral anticoagulant therapy in older age groups with atrial fibrillation [26]. Other contributing factors might be improved routines for investigation and secondary prevention of transient ischemic attacks; more widespread use of acute treatments such as thrombolysis and thrombectomy (which in some cases may accomplish full regression of focal neurological symptoms within 24 h) [27]; as well as heightened public awareness of cerebrovascular diseases, which may have increased the number of patients seeking urgent medical attention for conditions such as transient ischemic attacks [28]. Taken together, our findings of declining stroke incidence in absolute terms, despite population growth and aging demographics, warrant more research regarding current preventive approaches, to develop region-specific stroke prevention programs that are crucial to impede the otherwise globally growing burden of stroke [3].…”

Section: Discussionmentioning

confidence: 99%

Temporal Trends of Stroke Epidemiology in Southern Sweden: A Population-Based Study on Stroke Incidence and Early Case-Fatality

et al. 2018

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Background: Up-to-date epidemiological stroke studies are important for healthcare planning and evaluating prevention strategies. This population-based study investigates temporal trends in stroke incidence and case-fatality in southern Sweden. Methods: First-ever stroke cases in the local catchment area of Skåne University Hospital in Lund, Sweden, between March, 2015 and February, 2016, were included from several sources, including 2 prospective hospital-based registers, retrospective screening of primary care visits, and autopsy registers. Stroke incidence and 28-day case-fatality rates were compared with data from this area obtained through similar methodology between March, 2001 and February, 2002. Results: Altogether, 456 and 413 first-ever stroke patients were identified during the earlier and later time periods respectively. The age- and sex-standardized stroke incidence rates decreased from 246 (95% CI 224–270) to 165 (95% CI 149–182) per 100,000 people. However, incidence remained unaltered among those <65 years. Early case-fatality decreased from 14 to 11% (p = 0.165). Conclusion: First-ever stroke incidence in southern Sweden has decreased with 33% since the beginning of this millennium. Incidence rates have decreased among the elderly but remain unchanged among younger age groups. Our findings warrant further studies on trends in risk factor profiles and effects of prevention strategies, and heightened focus on stroke in the young.

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“…Awareness of how to detect a victim with stroke, acute myocardial infarction (AMI, i.e. heart attack) or sudden cardiac arrest (SCA) and how to treat him/her instantly is important for survival [7–10]. Statistical updates on heart disease and stroke emphasise healthy lifestyle factors for cardiovascular health [1].…”

Section: Introductionmentioning

confidence: 99%

“…The Swedish National Stroke Campaign (strokekampanjen.se, the Swedish Association of Local Authorities and Regions) increased the public awareness of symptoms, how to identify and call 112 when a victim suffered a stroke, both directly after the campaign and nine months after the campaign. However, this knowledge decreased after 21 months [9, 10]. The web-based education named Help-Brain-Heart (hjalphjarnahjarta.se, Swedish Resuscitation Council) on CVD and SCA also improved theoretical knowledge about CVD.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of web-based education in addition to basic life support learning activities: A cluster randomised controlled trial

et al. 2019

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Background Effective education in basic life support (BLS) may improve the early initiation of high-quality cardiopulmonary resuscitation and automated external defibrillation (CPR-AED). Aim To compare the learning outcome in terms of practical skills and knowledge of BLS after participating in learning activities related to BLS, with and without web-based education in cardiovascular diseases (CVD). Methods Laymen (n = 2,623) were cluster randomised to either BLS education or to web-based education in CVD before BLS training. The participants were assessed by a questionnaire for theoretical knowledge and then by a simulated scenario for practical skills. The total score for practical skills in BLS six months after training was the primary outcome. The total score for practical skills directly after training, separate variables and self-assessed knowledge, confidence and willingness, directly and six months after training, were the secondary outcomes. Results BLS with web-based education was more effective than BLS without web-based education and obtained a statistically significant higher total score for practical skills at six months (mean 58.8, SD 5.0 vs mean 58.0, SD 5.0; p = 0.03) and directly after training (mean 59.6, SD 4.8 vs mean 58.7, SD 4.9; p = 0.004). Conclusion A web-based education in CVD in addition to BLS training enhanced the learning outcome with a statistically significant higher total score for performed practical skills in BLS as compared to BLS training alone. However, in terms of the outcomes, the differences were minor, and the clinical relevance of our findings has a limited practical impact.

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Impact of the Swedish National Stroke Campaign on stroke awareness

Abstract: The nationwide campaign substantially increased knowledge about the AKUT test and intention to call 112 when experiencing or observing stroke symptoms, but knowledge declined post-intervention. Repeated public information therefore appears essential to sustain knowledge gains.

Cited by 27 publications

References 15 publications

Prehospital assessment of suspected stroke and TIA: An observational study

Prehospital assessment of suspected stroke and TIA: An observational study

Temporal Trends of Stroke Epidemiology in Southern Sweden: A Population-Based Study on Stroke Incidence and Early Case-Fatality

Effectiveness of web-based education in addition to basic life support learning activities: A cluster randomised controlled trial

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