Public stroke education: Current status worldwide and projects to increase awareness in the Czech Republic

Vondráčková, Lucie; Mikulík, Robert

doi:10.1016/j.crvasa.2016.12.004

Cited by 6 publications

(3 citation statements)

References 47 publications

(47 reference statements)

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“…Several mass education programs on early stroke recognition have been implemented to varying success. A review on public stroke education noted that many campaigns improved stroke knowledge in their population groups, but this did not translate to improved stroke response [34]. However, several factors emerged within studies that improved stroke response.…”

Section: Potential Stroke Patient Educationmentioning

confidence: 99%

Optimising Prehospital Pathways to Improve Acute Stroke Reperfusion Therapy Delivery: Systems-Based Approaches

Chowdhury

Wardman

Cordato

et al. 2021

SN Compr. Clin. Med.

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Intravenous thrombolysis and endovascular thrombectomy are the only approved reperfusion treatments available for patients with acute ischemic stroke. Despite the advances in reperfusion therapy, time continues to be a critical factor in the delivery of reperfusion treatment in acute stroke settings. In recent years, some systems-based approaches have been pursued with considerable success. However, approaches aimed at optimising and reducing treatment delays specifically in the prehospital settings are limited. A systems-based approach aimed at improving the process of care in the prehospital setting may result in the reduction of treatment delays and potentially improve clinical outcomes. In this article, we present an overview of the current prehospital acute stroke pathway. Areas to reduce treatment delays are identified and optimisations to the prehospital workflow addressing the identified gaps in acute stroke settings are proposed. Improving process and system gaps would translate to improved post-stroke outcomes following reperfusion therapy.

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Section: Potential Stroke Patient Educationmentioning

confidence: 99%

Optimising Prehospital Pathways to Improve Acute Stroke Reperfusion Therapy Delivery: Systems-Based Approaches

Chowdhury

Wardman

Cordato

et al. 2021

SN Compr. Clin. Med.

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“…It is estimated that one million people suffer a stroke worldwide (1). During a stroke, every minute counts, as the sooner a patient receives medical attention, the better the chance for surviving and preventing disability.…”

Section: Introductionmentioning

confidence: 99%

Baseline Stroke Literacy of Young Children Based on “FAST 112 Heroes” Program

Tsakpounidou

Psomiadis

Pourliaka

et al. 2021

Front. Public Health

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Background: Young children are often unaware of emergency health conditions, such as stroke, and could serve as important vehicles to save the lives of their grandparents, who are more likely to suffer a stroke. An important aspect for the evaluation of public awareness on stroke signs and related emergency procedures is to examine the level of baseline stroke knowledge children have and whether they understand when to seek medical care on time.Objective: To examine the level of stroke symptomatology knowledge in children as well as evaluate their preparedness in stroke response before their participation in the educational program “FAST (Face, Arms, Speech, Time) 112 Heroes.”Methods: For the purpose of this work, a questionnaire was developed and adapted to preschoolers' needs. The present study involved 123 children (65 boys, 58 girls, aged 4–6.5 years; mean age: 5.30, S.D.: 0.59) from two cities in Greece. Five multiple-choice animated pictures, that were age-appropriate, were administrated to each child, along with verbal explanations provided by the investigator.Results: More than half of the participants (n = 65, 52.8%) could recognize the symptom of face drooping, 53 children (43.1%) could identify the symptom of arm hemiparesis/hemiplegia and 92 children (74.8%) were able to answer the question regarding speech disturbances. However, the number of correct answers to the question regarding the appropriate course of action in case of a stroke was the lowest among all the questions (10.6% of participants gave a correct answer). Furthermore gender and age did not play a significant role (p = 0.571 and 0.635, respectively).Conclusion: Although more than half of the enrolled preschool children could recognize stroke symptoms before their participation in the educational program, their baseline stroke knowledge, prior to their training, is low. Concurrently, they do not have sufficient knowledge on how to react appropriately in the event of a stroke. Therefore, awareness programs focusing on developing stroke literacy to children are needed, to ensure children will seek urgent medical care in case of a stroke.

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“…11 Public awareness campaigns are designed to improve time to diagnosis and treatment metrics.However, of the studies of educational campaigns and stroke awareness conducted in Europe, Asia, North America, and Australia, few have been found to be effective for improving response times after stroke onset. 12 There has been limited research on how knowledge and…”

mentioning

confidence: 99%

Stroke systems of care in high-income countries: what is optimal?

et al. 2020

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Stroke is a complex, time-sensitive, medical emergency that requires well-functioning systems of care to optimise treatment and improve patient outcomes. Education and training campaigns are needed to improve both the recognition of stroke among the general public and the response of emergency medical services. Specialised stroke ambulances (mobile stroke units) have been piloted in many cities to speed up the diagnosis, triage and emergency treatment of people with acute stroke symptoms. Hospital-based interdisciplinary stroke units remain the central feature of a modern stroke service. Many have now developed a role in the very early phase (hyperacute units) plus outreach for patients who return home (early supported discharge services). Different levels (comprehensive and primary) of stroke centre and telemedicine networks have been developed to coordinate the various service components with specialist investigations and interventions including rehabilitation. Major challenges include balancing the resources for stroke across the whole patient journey including the rapid, accurate triage of those patients who require highly specialised treatment in comprehensive stroke centres and developing technology to improve communication across different parts of a service. (178 words) A major focus of public health initiatives has been to improve the time to treatment for 91 patients with ischaemic stroke. There are several inter-related reasons that contribute to 92 patients with stroke experiencing delays with the provision of reperfusion therapies. In a 93 recent systematic review, 8 four categories of factors associated with delays were identified: 1) 94 patient-related factors, plus health system factors related to 2) training, 3) resources, and 4) 95 lack of coordination. In another similar systematic review, 10 the authors reported that 96 patients' attitudes, knowledge, and education were associated with time to presentation to 97 hospital after stroke. Visiting the primary care physician after stroke was associated with 98 delayed presentation. 99Various strategies directed at the public and emergency medical services appear to improve stroke recognition and time to presentation and treatment for people with stroke. A systematic review of 39 studies of stroke knowledge conducted in the UK, North America, Asia and Australia 11 provided an illustration of the wide variability between studies in terms of the ability of the public to name stroke risk factors, to name signs and symptoms of stroke, and the decision to call emergency medical services. In other studies it was also found that the general public would opt to contact or attend their primary care physician first, rather than emergency medical services following onset of their symptoms. 11 Public awareness campaigns are designed to improve time to diagnosis and treatment metrics.However, of the studies of educational campaigns and stroke awareness conducted in Europe, Asia, North America, and Australia, few have been found to be effective for improving resp...

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Public stroke education: Current status worldwide and projects to increase awareness in the Czech Republic

Cited by 6 publications

References 47 publications

Optimising Prehospital Pathways to Improve Acute Stroke Reperfusion Therapy Delivery: Systems-Based Approaches

Optimising Prehospital Pathways to Improve Acute Stroke Reperfusion Therapy Delivery: Systems-Based Approaches

Baseline Stroke Literacy of Young Children Based on “FAST 112 Heroes” Program

Stroke systems of care in high-income countries: what is optimal?

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