Low public recognition of major stroke symptoms

Greenlund, Kurt J.; Neff, Linda J.; Zheng, Zhi‐Jie; Keenan, Nora L.; Giles, Wayne H.; Ayala, Carma; Croft, Janet B.; Mensah, George A.

doi:10.1016/s0749-3797(03)00206-x

Cited by 132 publications

(135 citation statements)

References 17 publications

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“…However, less than one third of the general public can come up with more than two symptoms or risk factors and even fewer are considered to have an adequate knowledge of stroke or TIA. Similar results have been reported throughout the United States and across Europe and Asia (Kothari et al 1997, Pancioli et al 1998, Yoon et al 2001, Reeves et al 2002, Greenlund et al 2003, Parahoo et al 2003, Centers for Disease Control and Prevention 2004, Ferris et al 2005, Müller-Nordhorn et al 2006, Nedeltchev et al 2007, Evci et al 2007, Mikulík et al 2008. Women have been found to have a better overall symptom awareness and knowledge of risk factors than men (Ferris et al 2005).…”

Section: Knowledge Of Stroke Among the Publicsupporting

confidence: 74%

“…Similar associations have been reported with a low socioeconomic status, a lower level of education, an elderly population and also other selected age groups depending on the setting, smoking and hypertension. (Kothari et al 1997, Reeves et al 2002, Greenlund et al 2003 Alarmingly, the knowledge of risk factors and symptoms appears to be the poorest in those patient groups who are at the greatest risk of having a stroke. Respondents with self-reported risk factors such as hypertension, diabetes and smoking are also largely unaware of their increased risk status.…”

Section: Knowledge Of Stroke Among the Publicmentioning

confidence: 99%

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Stroke and the emergency medical services – enhancing performance within the chain of survival

Puolakka

2017

Acta Anaesthesiol Scand

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Section: Knowledge Of Stroke Among the Publicsupporting

confidence: 74%

Section: Knowledge Of Stroke Among the Publicmentioning

confidence: 99%

Stroke and the emergency medical services – enhancing performance within the chain of survival

Puolakka

2017

Acta Anaesthesiol Scand

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“…This is likely because other research groups have performed analysis using categorical age ranges rather than treating age as a continuous variable. Studies reporting data for multiple age categories have shown that stroke knowledge appears to be at its peak during the middle years of life, 17 while those using a single age cut-off of 65 to 75 years old have shown the elderly to have decreased stroke knowledge. 9,14,18 Note: Comparison of stroke knowledge by gender and use of primary care physician was performed using a t-test, while comparison by level of education and by number of self-reported risk factors were performed using ANOVA and Scheffé post-hoc analysis.…”

Section: Discussion/conclusionmentioning

confidence: 99%

Public Stroke Knowledge: Those Most at Risk, Least Able to Identify Symptoms

Jarou¹,

Harris²,

Gill³

et al. 2013

MSRJ

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Background and purpose: Fewer than 1 in 20 patients with acute ischemic stroke are treated with thrombolytic drugs, with threequarters of otherwise eligible patients being excluded secondary to delay in seeking medical treatment. Lack of symptom recognition may contribute to low treatment rates and is an important focus of public health education. The purpose of this study was to determine if an individual's cumulative number of stroke risk factors correlated with their ability to identify stroke symptoms. Methods: We surveyed adults about their stroke risk factors and knowledge of stroke symptoms at grocery stores and malls in a medium-sized university town in the Midwestern US. Results: In total, 245 adults completed surveys. Self-reported risk factors included high blood pressure (25%), high cholesterol (22%), diabetes (12%), tobacco use (11%), alcohol use (7%), heart disease (7%), and prior stroke (3%). Cumulatively, 56% of respondents had no risk factors, 41% had 1Á3 risk factors, and 4% had 4' risk factors. When administered a six-point stroke symptom knowledge test, respondents with 4' risk factors were significantly less knowledgeable, receiving a mean score of 3.2, compared to those with 1Á3 risk factors, who scored a mean of 4.6. Those with four or more years of college were significantly more knowledgeable than those with only a high-school education, receiving mean scores of 4.6 and 3.9, respectively. There was no association between stroke knowledge and use of a primary care physician. Conclusions: Although it is known that individuals with more risk factors are more likely to have a stroke, in our study these respondents were less able to recognize stroke symptoms compared to respondents with fewer risk factors. Future public stroke awareness campaigns should be targeted toward those most at risk so they learn to recognize stroke symptoms and thus seek treatment in a timely manner.

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“…8,9,13,14 Similar to prior reports on knowledge of stroke risk factors and warning signs, we also found that tPA awareness was lower in the oldest age groups who are at the greatest risk of stroke. 7 Limitations of this study include those associated with the Behavioral Risk Factor Survey and other random digit dial surveys. 11 This may include bias attributable to noncoverage (exclusion of people that do not live in private residences or do not have landline phones) and nonresponse.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] Studies of stroke-related knowledge have primarily focused on warning signs and risk factors. 6,7 At least 3 telephone-based surveys have included questions about awareness of tPA treatment for stroke, and their results have varied widely. In a 1999 study conducted in Corpus Christi, Tex, 48% of Hispanics and 57% of non-Hispanic whites were aware that a treatment for acute stroke existed, and 38% and 62%, respectively, were aware that there was a time window for stroke treatment.…”

Section: S Troke Is the Third Leading Cause Of Death In The Unitedmentioning

confidence: 99%

Knowledge of Tissue Plasminogen Activator for Acute Stroke Among Michigan Adults

Anderson

Rafferty

Lyon-Callo

et al. 2009

Stroke

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Background and Purpose-Although tissue plasminogen activator (tPA) is an effective therapy for acute ischemic stroke, treatment rates remain low. Efforts to address the underuse of tPA include public education to increase the recognition of stroke symptoms and the awareness of tPA treatment. Our objective was to determine the level of knowledge about tPA treatment for acute stroke among a representative sample of Michigan adults. Methods-The Michigan Behavioral Risk Factor Survey (BRFS) is a random-digit-dial telephone survey of adults conducted annually as part of the national BRFS. Questions regarding tPA treatment for acute stroke were included in the 2004 Michigan BRFS. We examined the prevalence of awareness using 2 tests and generated multivariable logistic regression models. Results-Among 4724 respondents, only 32.2% (95% CIϭ30.8 to 33.8%) were aware of the existence of tPA treatment for acute stroke, of whom 52.7% (50.0 to 55.4%) knew that it needed to be administered within 3 hours of symptom onset. Awareness of tPA was higher among middle aged adults, females, whites, and those with higher education and income. Awareness of the time window for tPA was higher among middle aged adults and whites. Conclusions-In this population-based survey only a third of the public were aware of tPA as a treatment for stroke, and only 1 in 6 were aware that the treatment exists and needs to be given within 3 hours of symptom onset. Continuing efforts are necessary to increase public knowledge about tPA treatment for acute stroke.

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Low public recognition of major stroke symptoms

Cited by 132 publications

References 17 publications

Stroke and the emergency medical services – enhancing performance within the chain of survival

Stroke and the emergency medical services – enhancing performance within the chain of survival

Public Stroke Knowledge: Those Most at Risk, Least Able to Identify Symptoms

Knowledge of Tissue Plasminogen Activator for Acute Stroke Among Michigan Adults

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