Public stroke awareness and intent to call 112 in Sweden

Nordanstig, Annika; Jood, Katarina; Rosengren, Lars

doi:10.1111/ane.12293

Cited by 24 publications

(42 citation statements)

References 8 publications

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“…Analysis of data from the FAST-RIGHT study shows that 34.7% of the study participants in the 40-74 age group, and 36.6% in the 75-99 age group did not call EMS first [15], even though they had considered abnormal symptoms as "stroke onset." Similar to our results, 18.9% in Spain, [11] 28% in Sweden [22], 33.6% in America [9], and 35.5% in a small study in China [12] avoided calling an ambulance despite recognizing stroke onset. In clinical practice in China, this rate showed a significant increase to 82.1% [10].…”

Section: [Figure2 Position] Discussionsupporting

confidence: 90%

Barriers from calling ambulance after recognizing stroke differed in adults younger or older than 75 years old in China

Cui

Anderson

et al. 2019

Preprint

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Background: As health behavior varies with increasing age, we aimed to examine the potential barriers in calling emergency medical services (EMS) after recognizing a stroke among 40–74- and 75–99-year-old adults. Methods: Data were obtained from a cross-sectional community-based study (FAST-RIGHT) that was conducted from January 2017 to May 2017 and involved adults (age ≥40 years) across 69 administrative areas in China. A subgroup of residents (153675) who recognized stroke symptoms was analyzed. Multivariable logistic regression models were performed in the 40–74 and 75–99 age groups, separately, to determine the factors associated with wait-and-see behaviors at the onset of a stroke. Results: In the 40–74 and 75–99 age groups, the rates of participants who chose “Self-observation at home” were 3.0% (3912) and 3.5% (738), respectively; the rates of “Wait for family, then go to hospital” were 31.7% (42071) and 33.1% (6957), respectively. Rural residence, living with one's spouse, low income (< 731 US $ per annum), having a single avenue to learn about stroke, and having friends with stroke were factors associated with waiting for one's family in both groups. However, unlike in the 40–74 age group, sex, number of children, family history, and stroke history did not influence the behaviors at stroke onset in the 75–99 age group. Conclusions: Different barriers from recognizing stroke and calling an ambulance exist in the 40-74 and 75-99 age groups in this specific population. Different strategies that mainly focus on changing the “Wait for family” behavior and emphasize on immediately calling EMS are recommended for both age groups.

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Section: [Figure2 Position] Discussionsupporting

confidence: 90%

Barriers from calling ambulance after recognizing stroke differed in adults younger or older than 75 years old in China

Cui

Anderson

et al. 2019

Preprint

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“…First, only stroke events leading to hospitalization or death outside hospital were captured. A recent study in Sweden showed that stroke awareness did not differ between patients with diabetes and individuals without regular healthcare contacts [24]. Therefore, we believe that the proportion of potential missed cases due to not seeking medical care should be the same between control subjects and individuals with diabetes.…”

Section: Discussionmentioning

confidence: 74%

Glycaemic control and excess risk of ischaemic and haemorrhagic stroke in patients with type 1 diabetes: a cohort study of 33 453 patients

et al. 2016

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Abstract. Hed en St ahl C, Lind M, Svensson A-M, Gudbj€ ornsdottir S, M artensson A, Rosengren A (University of Gothenburg, Gothenburg; NUHospital Organization, Uddevalla; Center of Registers in Region V€ astra G€ otaland, Gothenburg; Statistiska Konsultgruppen, Gothenburg; Sweden). Glycaemic control and excess risk of ischaemic and haemorrhagic stroke in patients with type 1 diabetes: a cohort study of 33 453 patients. J Intern Med 2017; 281: 261-272.Objective. To estimate the excess risk of stroke in relation to glycaemic control in patients with type 1 diabetes.Methods. In this prospective, matched cohort study, we identified patients with type 1 diabetes, aged ≥18 years, who were registered in the Swedish National Diabetes Register from 1998-2011 and five control subjects for each case from the general population, matched for age, sex and county of residence. The risks of all strokes, ischaemic stroke and haemorrhagic stroke were estimated using Cox hazard regression.

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“…The most commonly recognised risk factors for stroke across the studies were hypertension, high cholesterol, obesity and smoking (see Additional File 4). Out of eight studies (6,28,29,31,35,36,38,40) that asked open questions with regards to risk factors and gave a percentage of the number of people able to give at least one correct risk factor of stroke, the results ranged from 50.8% (31) to 89.5% (38). This means that in all of these eight studies, over half of participants were able to correctly identify a risk factor of stroke without being prompted.…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…Characteristics of included studies are displayed in Additional File 2. The 20 included studies (4)(5)(6)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43) were all written between the years 2001 to 2015. Of the 20 studies, four (5,(27)(28)(29) were from Spain, two (30,31) were from Italy and two (32,33) from Croatia.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Does Socioeconomic Position Affect Knowledge of the Risk Factors and Awareness of the Warning Signs of Stroke in the WHO European Region? A Systematic Literature Review

Stack¹,

Robertson²,

Blackburn³

2020

Preprint

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Background: Cerebrovascular accidents are one of the leading causes of death worldwide. People with a lower socioeconomic position (SEP) (i.e. with regards to education, income and occupation) are at a higher risk of having a stroke and have worse clinical outcomes compared to the general population. Good knowledge levels about stroke risk factors and warning signs are key to prolonging life and reducing health issues caused by stroke. This systematic review examined differences in knowledge of stroke risk factors and awareness of stroke warning signs with regards to SEP in the WHO European region.Methods: MEDLINE, Embase, Web of Science, PsycINFO and CINAHL were systematically searched to find articles looking at knowledge of risk factors and/or awareness of warning signs of stroke, with results broken down by SEP. A title and abstract screen, and, if appropriate, a full text screen, of these results was carried out, as well as screening reference lists of included studies. Only studies in the English language and those based in the WHO European region were included.Results: Screening identified 2,118 records. In the final review, 20 articles were included, with 67,309 study participants between them. Out of 17 studies that looked at stroke risk factors, 11 found increasing knowledge to be associated with higher SEP, four found no difference by SEP, one showed a mixed pattern and one outlier study found increasing knowledge of risk factors to be associated with a lower SEP. Out of 19 studies that looked at stroke warning signs or symptoms, 15 found there to be better awareness of warning signs with a higher SEP, three found there to be no difference, and the same outlier study found increasing knowledge of warning signs with a lower SEP. Studies that seemed to have a higher quality rating found increasing knowledge of stroke with a higher SEP.Conclusions: In the WHO European region, better knowledge of stroke risk factors and awareness of warning signs is associated with a higher SEP. Public health campaigns and educational interventions aiming to increase stroke awareness should be targeted at people with a lower SEP.

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Public stroke awareness and intent to call 112 in Sweden

Abstract: We confirm a rather low public awareness of stroke in Sweden, poorer among males and those with low education. With increasing age, a lower proportion indicated intent to call 112 for stroke symptoms.

Cited by 24 publications

References 8 publications

Barriers from calling ambulance after recognizing stroke differed in adults younger or older than 75 years old in China

Barriers from calling ambulance after recognizing stroke differed in adults younger or older than 75 years old in China

Glycaemic control and excess risk of ischaemic and haemorrhagic stroke in patients with type 1 diabetes: a cohort study of 33 453 patients

Does Socioeconomic Position Affect Knowledge of the Risk Factors and Awareness of the Warning Signs of Stroke in the WHO European Region? A Systematic Literature Review

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