Stroke Patients’ Knowledge of Stroke

Williams, Linda S.; Bruno, Askiel; Rouch, D.; Marriott, Deanna J.

doi:10.1161/01.str.28.5.912

Cited by 265 publications

(162 citation statements)

References 13 publications

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“…The cause of this delay, which was not investigated in this study, could be a lack of understanding of symptom seriousness, with some patients expecting natural symptom resolution showing progressive symptoms and delaying medical attention (21). Misinterpreting stroke symptoms as other diseases may also delay ED arrival (22).…”

Section: Discussionmentioning

confidence: 93%

Factors Associated with Prehospital Delay for Acute Stroke in Ulsan, Korea

Kim

Ahn

Kim

et al. 2011

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 93%

Factors Associated with Prehospital Delay for Acute Stroke in Ulsan, Korea

Kim

Ahn

Kim

et al. 2011

The Journal of Emergency Medicine

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“…Only one quarter of stroke patients correctly interpret their symptoms as representing a stroke, and even when they know that it is a stroke, most present late because they perceive their symptoms as "not serious" 5 . The perception of "having risk factors" to stroke and the knowledge of these factors are associated with better control of comorbidities and better adhesion to preventive therapy after stroke 6 .…”

Section: Stroke Risk Factors: Southern Brazilmentioning

confidence: 99%

“…Nevertheless, it is still a neglected disease in this country, where a great number of patients does not get the specific treatment because of the delay in the diagnosis and the absence of the recombinant tissue plasminogen activator (rt-PA) in the public hospitals network 2-4 . The awareness of stroke warnings signs influence on the delay of presentation in the hospitals 3,5 . …”

mentioning

confidence: 99%

Awareness of stroke risk factors and warning signs in southern Brazil

Falavigna

Teles

Vedana

et al. 2009

Arq. Neuro-Psiquiatr.

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-Objective: To evaluate the knowledge about stroke in Caxias do Sul. Method: A closed-ended, self-administered questionnaire was used to assess the knowledge about stroke among residents of Caxias do Sul. In order to verify variables associated to lack of knowledge we defined three main end points: (1) the inability to recognize that stroke is a disease that affects the brain; (2) insufficient knowledge of risk factors; (3) insufficient knowledge of signs and symptoms of acute stroke. Results: A total of 952 subjects answered the questionnaire. Lower income and lower educational level were independent factors associated to inability to recognize that stroke affects the brain. Lower income and being under 50 years old were independent risk factors to lack of knowledge concerning stroke risk factors. Lower educational level was the unique risk factor for insufficient knowledge about stroke warning signs. Conclusion: There is a lack of knowledge about stroke in Caxias do Sul. People with lower socioeconomic status and lower education level should be the targets of educational campaigns.KEY WORDS: stroke, knowledge, risk factors, warning signs, general population. Avaliação de fatores de risco de doença cerebrovascular no sul do BrasilResumo -Objetivo: Avaliar o conhecimento sobre doença cerebrovascular em Caxias do Sul. Método: Um questionário auto-administrado, com questões objetivas, foi utilizado para avaliar o conhecimento sobre doença cerebrovascuar em residentes de Caxias do Sul. A fim de verificar as variáveis associadas à falta de conhecimento, definiram-se três principais desfechos: (1) incapacidade de reconhechecer que o derrame é uma doença que afeta o cérebro; (2) conchecimento insuficiente sobre fatores de risco; (3) conhecimeto insuficiente sobre sinais e sintomas de acidente vascular encefálico. Resultados: Um total de 952 sujeitos responderam o questionário. Menor renda e menor nível socioeconômico foram fatores independentes associados à incapacidade de reconhecer que derrame afeta o cérebro. Menor renda e ter menos que 50 anos de idade foram fatores independentes associados à conchecimento insuficiente sobre fatores de risco para doença cerebrovasculas. Menor nível educacional foi o único fator de risco independente associado à conhecimento insuficiente sobre sinais de alerta do acidente vascular encefálico. Conclusão: Há uma lacuna de conhecimento sobre doença cerebrovascular em Caxias do Sul. Pessoas com menor nível socioeconômico e menor nível educaional deveriam ser o alvo para campanhas educacionais. PALAVRAS-CHAVE: acidente vascular encefálico, conhecimento, fatores de risco, sinais de alerta, população geral. Stroke is a major public health problem and the leading cause of mortality in Brazil 1,2 . Nevertheless, it is still a neglected disease in this country, where a great number of patients does not get the specific treatment because of the delay in the diagnosis and the absence of the recombinant tissue plasminogen activator (rt-PA) in the public hospitals network 2-4 . The awar...

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“…[1][2][3] The approved ''therapeutic window'' of thrombolytic therapy for ischemic stroke is three hours from onset of symptoms, but many stroke victims do not reach medical care within this time period. [4][5][6] The reasons for this prolonged delay are not well understood. [7][8][9] Several factors have been found to be associated with shorter delays from symptom onset to hospital arrival (out-of-hospital delay), including the presence of a bystander, 10 calling 911, 5,[9][10][11] stroke subtype, 4,8 sudden onset of symptoms, 7 stroke severity, [5][6][7][8][9][10][11][12] time of day, 8,13,14 and the presence of symptoms on awakening.…”

mentioning

confidence: 99%