Low awareness of transient ischemic attacks and risk factors of stroke in a Swiss urban community

Nedeltchev, Krassen; Fischer, Urs; Arnold, Marcel; Kappeler, Liliane; Mattle, Heinrich P (2007). Low awareness of transient ischemic attacks and risk factors of stroke in a Swiss urban community. Journal of neurology, 254(2), pp. 179-84. Heidelberg: Steinkopff-Verlag; www.steinkopff.springer.de 10.1007/s00415-006-0313-x

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BACKGROUND AND PURPOSE: Time delays from stroke onset to arrival at the hospital are the main obstacles for widespread use of thrombolysis. In order to decrease the delays, educational campaigns try to inform the general public how to act optimally in case of stroke. To determine the content of such a campaign, we assessed the stroke knowledge in our population. METHODS: The stroke knowledge was studied by means of a closed-ended questionnaire. 422 randomly chosen inhabitants of Bern, Switzerland, were interviewed. RESULTS: The knowledge of stroke warning signs (WS) was classified as good in 64.7%. A good knowledge of stroke risk factors (RF) was noted in 6.4%. 4.2% knew both the WS and the RF of stroke indicating a very good global knowledge of stroke. Only 8.3% recognized TIA as symptoms of stroke resolving within 24 hours, and only 2.8% identified TIA as a disease requiring immediate medical help. In multivariate analysis being a woman, advancing age, and having an afflicted relative were associated with a good knowledge of WS (p = 0.048, p < 0.001 and p = 0.043). Good knowledge of RF was related to university education (p < 0.001). The good knowledge of TIA did not depend on age, sex, level of education or having an afflicted relative. CONCLUSIONS: The study brings to light relevant deficits of stroke knowledge in our population. A small number of participants could recognize TIA as stroke related symptoms resolving completely within 24 hours. Only a third of the surveyed persons would seek immediate medical help in case of TIA. The information obtained will be used in the development of future educational campaigns.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Nedeltchev, Krassen; Fischer, Urs; Arnold, Marcel; Kappeler, Liliane and Mattle, Heinrich

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0340-5354

ISBN:

17334952

Publisher:

Steinkopff-Verlag; www.steinkopff.springer.de

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:55

Last Modified:

26 Jun 2018 14:16

Publisher DOI:

10.1007/s00415-006-0313-x

PubMed ID:

17334952

Web of Science ID:

000244713700006

BORIS DOI:

10.7892/boris.23299

URI:

https://boris.unibe.ch/id/eprint/23299 (FactScience: 41082)

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