The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools

Calderaro, Marcelo; Salles, Igor Caitano; Gouvêa, Gabriela B.; Monteiro, Vinícius S; Mansur, Antônio de Pádua; Shinohara, Henrique N I; Aikawa, Priscila; Umeda, Iracema Ioco Kikuchi; Semeraro, Federico; Carmona, Maria José Carvalho; Böttiger, Bernd W.; Nakagawa, Naomi Kondo

doi:10.1016/j.clinsp.2022.100052

Cited by 5 publications

(5 citation statements)

References 30 publications

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“…In relation to socioeconomic context, access to information is an important factor, in children and adults, in which less understanding of stroke is associated with lower socioeconomic and educational attainment levels 33 . Childrens' knowledge of stroke risk factors and symptoms was lower in the socioeconomically vulnerable and in those with poor academic performance 34,35 . This impairs the seeking of medical services, in the face of an acute clinical condition, in which early diagnosis and treatment are imperative.…”

Section: Discussionmentioning

confidence: 99%

Changes in childhood stroke mortality from 1990 to 2019 in Brazil and its federative units

Tanisaka

Oliveira

Sousa

et al. 2022

Sci Rep

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This research analyzed the temporal trend of stroke mortality in children aged 0–14 years, from 1990 to 2019, in Brazil and its federative units. This ecological study used data from the Global Burden of Disease, a study led by the Institute for Health Metrics and Evaluation. Stroke definition considered the International Classification of Diseases according to codes G45, G46, and I60–I69. Age-standardized mortality rates and the mean annual percentage change (APC) in mortality rates were estimated. Stroke mortality trends decreased, with an APC of − 3.9% (95% CI − 4.5; − 3.3; p < 0.001). Reducing trends were found in all but two states, where they were stationary. Maranhão (− 6.5%; 95% CI − 7.6; − 5.4; p < 0.001) had the greatest reduction and Rondônia, the smallest (− 1.2%; 95% CI − 2.3; − 0.1, p = 0.027). Decrease was more important in children < 5 (− 5.8%; 95% CI − 6.3; − 5.2; p < 0.001) compared to 5–14 years old (− 2.1%; 95% CI − 2.9; − 1.3; p < 0.001); additionally, it was greater in girls (− 4.1%; 95% CI − 4.6; − 3.5; p < 0.001) than in boys (− 3.8%; 95% IC − 4.5; − 3.1; p < 0.001). Ischemic stroke had the highest APC (− 6.1%; 95% CI − 6.8; − 5.3; p < 0.001), followed by intracranial hemorrhage (− 5.3%; 95% CI − 6.1; − 4.5; p < 0.001) and subarachnoid hemorrhage (− 2.7%; 95% CI − 3.3; − 2.1; p < 0.001). Largest reductions were seen in states with more vulnerable socioeconomic contexts. The stationary trends and lowest APCs were concentrated in the northern region, which had greater impact of diseases and less favorable outcomes.

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Section: Discussionmentioning

confidence: 99%

Changes in childhood stroke mortality from 1990 to 2019 in Brazil and its federative units

Tanisaka

Oliveira

Sousa

et al. 2022

Sci Rep

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“…Nível educacional mais alto, experiência anterior e sexo feminino foram associados a maior escore para identificação dos fatores de risco de AVC (OR = 1,28; IC 95%, 1,10‒1,48; OR = 2,12; IC 95%, 1,87‒2,40; OR = 1,46; IC 95%, 1,16‒1,83; respectivamente) e sinais/sintomas de alerta (OR = 2,22; IC 95%, 1,89‒2,60; OR = 3,30; IC 95%, 2,81‒3,87; OR = 2,04; IC 95%, 1,58‒2,63; respectivamente). 96 …”

Section: Conscientização E Tratamentounclassified

“…Higher education, prior experience, and being female were associated with higher scores in identifying stroke risk factors (OR = 1.28; 95% CI, 1.10‒1.48; OR = 2.12; 95% CI, 1.87‒2.40; OR = 1.46; 95% CI, 1.16‒1.83; respectively) and warning signs/symptoms (OR = 2.22; 95% CI, 1.89‒2.60; OR = 3.30; 95% CI, 2.81‒3.87; OR = 2.04; 95% CI, 1.58‒2.63; respectively). 96 …”

Section: Awareness and Treatmentmentioning

confidence: 99%

Estatística Cardiovascular – Brasil 2023

Oliveira,

Brant,

Polanczyk

et al. 2024

Arquivos Brasileiros De Cardiologia

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“…Some sociodemographic characteristics, like more educational years, better economic status, and previous experiences may influence the patient’s and bystander’s ability to recognize [ 5 ] and properly respond to a stroke [ 6 ]. However, other factors may play roles in this process, such as communication issues among patient/bystander and EMS dispatchers.…”

Section: Introductionmentioning

confidence: 99%

Different words for stroke: the same concept? an analysis of associated symptoms and intended reaction in Brazil

et al. 2023

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Background Different names for stroke might mislead physicians and emergency medical service workers. This study aimed to assess the different words for stroke in Brazil and both intended response and related symptoms associated with those names. Methods Cross-sectional study enrolling healthy individuals from urban areas in Northeast of Brazil for an open-ended survey. We presented a typical clinical case of a stroke (an elderly who had sudden onset of hemiparalysis and slurred speech) and asked “what is happening?”, “what would you do?” and “which other symptoms could happen in this condition?”. Resuts From 1,475 interviewed individuals, 1,220 (82,7%) recognized the scenario as a stroke. There were 3 words to correctly identify (based on correct intended response and spontaneously evoked associated symptoms) the stroke, which were “AVC” (acronym for cerebrovascular accident, in Portuguese), “derrame” (spillage) and “trombose” (thrombosis). There were significant differences among them concerning demographic, economic, educational and geographical aspects, but there was no difference according to the intended reaction among them. The most cited associated symptoms (excluding those present in the case) were impaired consciousness (10.6%), headache (8.9%) and dysesthesia (7.7%). “Aneurisma” (aneurism) was also cited, by 3 individuals. Conclusion There are at least three words for stroke in Portuguese (“AVC”, “derrame” and “trombose”); they were similar in terms of correct intended responses and spontaneously cited accompanying symptoms. Stroke campaigns should apply different names to reach a broader audience and to improve stroke recognition.

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The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools

Cited by 5 publications

References 30 publications

Changes in childhood stroke mortality from 1990 to 2019 in Brazil and its federative units

Changes in childhood stroke mortality from 1990 to 2019 in Brazil and its federative units

Estatística Cardiovascular – Brasil 2023

Different words for stroke: the same concept? an analysis of associated symptoms and intended reaction in Brazil

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