A CROSS SECTIONAL SURVEY ON AWARENESS ABOUT STROKE AMONG STROKE PATIENTS AND THEIR BYSTANDERS FROM A TERTIARY CARE CENTRE, KERALA
Keywords:
Stroke awareness, Risk factors of stroke, Stroke and awareness, Patients and by standers awareness about stroke, stroke symptoms and risk factors, stroke knowledgeAbstract
Background
Stroke is the leading cause of death and functional impairment accounting a major burden of global non-communicable diseases (1, 2). The knowledge about stroke, risk factors and warning signs among the patients and bystanders is an unexplored area (1). The aim of this study was to assess the knowledge of stroke risk factors and warning signs among patients and bystanders.
Materials and methods
Patients diagnosed with current andrecurrent stroke of age > 18 years were recruited from in-patient units of stroke medicine department at Amrita institute of medical science and research centre from October 2020 to April 2021.Those patients with sufficient communicative ability were included in the survey and those with severe aphasia, limiting the comprehension were excluded from the survey. A structured closed-ended study questionnaire was used to collect the data regarding the baseline characteristics and to assess the knowledge on stroke among the participants (patients and bystanders). Participants were interviewed to answer questions regarding the demographic characteristics, risk factors, awareness about stroke and its warning signs by the research personal. The data were analysed using SPSS version 21.
Results
A total of 91 patients participated in the survey. The mean age of the study population was 60.73 (13.38) years. The proportion of males was 61.5%.Patients from rural places (64.8%) was more compared to urban (34.1%). Majority of the patients (85.7%) could not identify that they have been hit with stroke. The most commonly recognized risk factors were hypertension (78%), diabetes (47.3%), dyslipidemia(38.5%)followed by cardiovascular diseases(33.3%). Regarding stroke warning signs, the most commonly recognized warning signs were upper and lower limb weakness(34.1%), both upper and lower limb weakness with deviation of mouth (17.6%), both upper and lower limb weakness ,deviation of mouthand slurring of speech (7.7%). Only 12.1% bystanders were aware about the signs of stroke.
Conclusion
The results from the current survey showed that the general awareness of stroke is still unsatisfactory among stroke patients and bystanders. The healthcare provider should provide structured interventions to increase awareness and knowledge about stroke in the public.
References
PathittaSuangpho and SomsakTiamkao, Knowledge of Stroke Risk Factors and Warning Signs in Patients with Recurrent Stroke or Recurrent Transient Ischaemic Attack in Thailand,Neurology Research International / 2017.
Anne Hickey, Ann O'Hanlon, Hannah McGee, Claire Donnellan, Emer Shelley, Frances Horgan& Desmond O'Neill ,Stroke awareness in the general population: knowledge of stroke risk factors and warning signs in older adults,BMC Geriatrics 2017
Anand K, Chowdhury D, Singh KB, Pandav CS, Kapoor SK. Estimation
of mortality and morbidity due to strokes in India. Neuroepidemiology. 2001;20:208 –211.
Razdan S, Koul RL, Motta A, Kaul S. Cerebrovascular disease in ruralKashmir, India. Stroke. 1989;20:1691–1693.
Dalal PM. Stroke in India: issues in primary and secondary prevention.Neurol India. 2002;50:S2–S7.
Hickey A, O’Hanlon A, McGee H , Donnellan C, Shelley E, Horgan F, O'Neill D. Stroke awareness in the general population: Knowledge of stroke risk factors and warning signs in older adults. BMC Geriatr 2009; 9:1-8
Morgenstern LB, Bartholomew LK, Grotta JC, Staub L, King M, Chan W. Sustained benefit of a community and professional intervention to increase acute stroke therapy. Arch Intern Med 2003; 163(18):2198202.
Blades LL, Oser CS, Dietrich DW, Okon NJ, Rodriguez DV, Burnett AM, et al. Rural community knowledge of stroke warning signs and risk factors. Prev Chronic Dis. 2005;
Johnson W, Onuma O, Owolabi M, et al. (2016) Stroke: a global response is needed. Bull WorldHealth Organ 94: 634–634A.
Srivastava AK, Prasad K (2001) A study of factors delaying hospital arrival of patients withacute stroke. Neurol India 49: 272–276.
Kothari R, Sauerbeck L, Jauch E, Broderick J,Brott T, Khoury J, Liu T: Patients’ awareness of stroke signs, symptoms, and risk factors.Stroke 1997;28:1871–1875.
Rausch M, Turkoski B: Developing realistic treatment standards in today’s economic climate:Stroke survivor education. J Adv Nurs1999;30:329–334.
Pancioli AM, Broderick J, Kothari R, Brott T, Tuchfarber A, Miller R, Khoury J, Jauch E: Public perception of stroke warning signs and knowledge of potential risk factors. JAMA. 1998, 279: 1288-1292. 10.1001/jama.279.16.1288.
Reeves MJ, Hogan JG, Rafferty AP: Knowledge of stroke risk factors and warning signs among Michigan adults. Neurology. 2002, 59: 1547-1552.
Schneider AT, Pancioli AP, Khoury JC, Rademacher E, Tuchfarber A, Miller R, Woo D, Kissela B, Broderick JP: Trends in community knowledge of the warning signs and risk factors for stroke. JAMA. 2003, 289: 343-6. 10.1001/jama.289.3.343.
Reeves MJ, Rafferty AP, Aranha AAR, Theisen V: Changes in knowledge of stroke risk factors and warning signs among Michigan adults. Cerebrovasc Dis. 2008, 25: 385-391. 10.1159/000121338.
Fang J, Keenan NL, Ayala C, Dai S, Merritt R: Awareness of stroke warning symptoms – 13 states and the district of Columbia, 2005. JAMA. 2008, 300: 274-276. 10.1001/jama.300.3.274.
Silver FL, Rubini F, Black D, Hodgson CS: Advertising strategies to increase public knowledge of the warning signs of stroke. Stroke. 2003, 34: 1965-1969. 10.1161/01.STR.0000083175.01126.62.
Yoon SS, Heller RF, Levi C, Wiggers J, Fitzgerald PE: Knowledge of stroke risk factors, warning symptoms, and treatment among an Australian urban population. Stroke. 2001, 32: 1926-1930.
AsdrubalFalavignaI; Alisson Roberto TelesII; Viviane Maria VedanaII,Awareness of stroke risk factors and warning signs in southern Brazil,Arq. Neuro-Psiquiatr. vol.67 no.4 São Paulo Dec. 2009
Jeyaraj Durai Pandian1, Guneet Kalra1, Ashish Jaison1,Knowledge of stroke among stroke patients and their relatives in Northwest India, neurology of india.
Kim JS, Yoon SS. Perspectives of stroke in persons living in Seoul, SouthKorea: a survey of 1000 subjects. Stroke. 1997;28:1165–1169.
Cheung RTF, Li LSW, Mak W, Tsang KL, Lauder LJ, Chan KH, Fong CY.Knowledge of stroke in Hong Kong Chinese. Cerebrovasc Dis. 1999;9:119–123.
Stroke awareness program: The necessary facts for a successful campaign [2]
Pati, S. and Nambron, R.Neurology India. 2006; 54(4): 444[Pubmed]
Reeves MJ, Hogan JG, Rafferty AP. Knowledge of stroke risk factors and warning signs among Michigan adults. Neurology. 2002; 59: 1547–1552.CrossrefMedlineGoogle Scholar
Parahoo K, Thompson K, Cooper M, Stringer M, Ennis E, McCollam P. Stroke: awareness of the signs, symptoms and risk factors: a population-based survey. Cerebrovasc Dis. 2003; 16: 134–140.CrossrefMedlineGoogle Scholar
PirjadeAmbarin MRushika G. Telhande G. TelhandeYadav Truptiawareness of early warning signs of stroke in rural and urban populationSeptember 2021Journal Human Research in Rehabilitation 11(2):159-162
Sex Differences in Stroke EpidemiologyA Systematic ReviewPeter Appelros, MD, PhD; Birgitta Stegmayr, PhD; Andreas Tere´nt, MD, PhD
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