Knowledge gaps in stroke care: results of a survey of family physicians in Pakistan

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Mohammad WasayAnwar Haq

Abstract

Family physicians play a pivotal role in stroke prevention (primary and secondary) and early management of stroke in developing countries. The objective of this study was to evaluate whether Pakistani family physicians' approach to stroke prevention and management was in accordance with established international guidelines. This was a cross-sectional survey of randomly selected family physicians in Pakistan, conducted in 2007. A total of 588 family physicians participated in the study. The data reveal that 88% of the physicians are aware of at least one of the 5 major symptoms of stroke, but only 46% are able to correctly idenitfy all 5 symptoms; 93% of the physicians check blood pressure in their adult patients regularly, and 63% use a cutoff of 140/90 mm Hg to start antihypertensive therapy in routine clinical practice; 90% ask their patients about cigarette smoking or tobacco use, but only 64% regularly advise their patients to quit smoking; 75% do not routinely check cholesterol levels in their patients; 36% treat patients with stroke by themselves, whereas 64% prefer to refer these patients to a specialist or hospital; 57% use intravenous or sublingual antihypertensive medications in patients with acute stroke with blood p...Continue Reading

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Citations

Oct 10, 2009·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Mohammad WasayAyeesha K Kamal
Feb 12, 2014·Nature Reviews. Neurology·Mohammad WasaySubhash Kaul
Apr 1, 2012·Multiple Sclerosis and Related Disorders·Fariha Zaheer, Joseph R Berger
Jul 5, 2012·International Journal of Stroke : Official Journal of the International Stroke Society·Mubashirah HashmiMohammad Wasay
Aug 7, 2012·International Journal of Stroke : Official Journal of the International Stroke Society·Maria Khan, Mohammad Wasay
Aug 11, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·David S FrankelPhilip B Gorelick
May 20, 2015·Heart Rhythm : the Official Journal of the Heart Rhythm Society·David S FrankelPhilip B Gorelick
Jan 1, 2012·JRSM Cardiovascular Disease·Deepti Vibha, Kameshwar Prasad

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