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Stroke Knowledge in the EstEPA Project, a Population-Based Study

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dc.contributor.author Hawkes, Maximiliano Alberto
dc.contributor.author Gomez Schneider, Maia Macarena
dc.contributor.author Dossi, Daiana Elizabeth
dc.contributor.author Melcon, Mario O.
dc.contributor.author Ameriso, Sebastián Francisco
dc.date.accessioned 2021-04-21T15:09:33Z
dc.date.available 2021-04-21T15:09:33Z
dc.date.issued 2021-02
dc.identifier.citation Hawkes MA, Gomez-Schneider MM, Dossi DE, Melcon MO, Ameriso SF. Stroke Knowledge in the EstEPA Project, a Population-Based Study. J Stroke Cerebrovasc Dis. 2021 Feb;30(2):105471. doi: 10.1016/j.jstrokecerebrovasdis.2020.105471. Epub 2020 Nov 23. PMID: 33242783. es_ES
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/422
dc.identifier.uri https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105471
dc.description.abstract Objectives: Stroke knowledge is poor in the general population worldwide. Yet, data from Spanish-Speaking populations, particularly in Latin America, are scant. We aim to evaluate stroke awareness using personal interviews in a population-based study. Materials and methods: A questionnaire of stroke awareness was administered to a randomly selected sample of households. "Good stroke knowledge for action" was defined as recognition of impaired strength, sensation and language plus intention to seek urgent medical attention in a hypothetical stroke situation. Demographics, the term to name stroke, recognition of warning signs and attitude towards seeking medical attention were compared between individuals with and without "good stroke knowledge for action". Results: From 1986 respondents (87%, median age 59 years [IQR 23], 50.7% female), most recognized stroke as ACV (cerebrovascular accident, [63%]). Weakness/decreased sensation were recognized as stroke warning signs by 83.5% of respondents, followed by aphasia (77.9%), incoordination (71.6%) and headache (70.5%). Chest pain was misclassified as stroke warning sign by 25% of subjects. In a hypothetical stroke situation, most respondents would go to the hospital (52.3%), or activate the EMS (39%). Individuals with a good stroke knowledge for action (63.5%) recognized visual symptoms (60.4% vs 43.8, p<0.0001), incoordination (78.8% vs 34.4%, p<0.0001) and headache (70.5% vs. 57.8%, p<0.0001) more frequently, and were less likely to misrecognize chest pain as stroke warning sign (23.8% vs. 28.9%, p=0.015). Neither, age (OR 1 CI 0.99-1.00, p=0.94), gender (OR 0.95, CI 0.79-1.16, p=0.61) or race (OR 1.17, CI 0.97-1.42, p=0.097) predicted good stroke knowledge for action. Conclusions: Most people recognize stroke as ACV. The recognition of stroke warning signs and the attitude towards seeking emergent medical attention appears acceptable. Yet, most respondents would go directly to the hospital avoiding the EMS. es_ES
dc.language.iso eng es_ES
dc.publisher Saunders es_ES
dc.rights info:eu-repo/semantics/openAccess
dc.rights.uri https://creativecommons.org/licenses/by/2.5/ar/
dc.subject Argentina es_ES
dc.subject Stroke es_ES
dc.subject Prevalence es_ES
dc.subject Prevalencia es_ES
dc.title Stroke Knowledge in the EstEPA Project, a Population-Based Study es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.type info:eu-repo/semantics/publishedVersion
dc.description.fil Fil: Ameriso, Sebastián Francisco. Fleni. Departamento de Neurología. Servicio de Neurología Vascular; Argentina.
dc.description.fil Fil: Gomez Schneider, Maia Macarena. Fleni. Departamento de Neurología. Servicio de Neurología Vascular; Argentina.
dc.description.fil Fil: Dossi, Daiana Elizabeth. Fleni. Departamento de Neurología. Servicio de Neurología Vascular; Argentina.
dc.description.fil Fil: Melcon, Mario O. Fundación Para Investigaciones Neuroepidemiológicas; Argentina.
dc.description.fil Fil: Hawkes, Maximiliano Alberto. Fleni. Departamento de Neurología. Servicio de Neurología Vascular; Argentina.
dc.relation.ispartofVOLUME 30
dc.relation.ispartofNUMBER 2
dc.relation.ispartofPAGINATION 105471
dc.relation.ispartofCOUNTRY Estados Unidos
dc.relation.ispartofCITY Nueva York
dc.relation.ispartofTITLE Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association.
dc.relation.ispartofISSN 1532-8511
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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