Patient behaviour at the time of stroke onset: a cross-sectional survey of patient response to stroke symptoms

Emergency Medicine Journal : EMJ
L MellonA Hickey

Abstract

Revascularisation treatment with thrombolysis must be initiated within 4.5 h following ischaemic stroke symptom onset. Despite its proven benefits, thrombolysis therapy is underused, with patient delay in presenting to hospital with symptoms identified as the leading barrier. This study aimed to examine help-seeking behaviour at stroke onset, in order to understand delays in accessing acute medical care for stroke symptoms. 149 consecutive patients hospitalised with ischaemic stroke were interviewed at 72 h poststroke with the Stroke Awareness Questionnaire and the Response to Symptoms Questionnaire. Sixty per cent of stroke cases presented to the ED within 3.5 h of stroke onset. Knowledge of stroke symptoms and risk factors was poor, with 40% unable to correctly define a stroke. Bystander recognition of symptoms (p=0.03) and bystander initiation of Emergency Medical Services was associated with ED presentation within 3.5 h (p=0.03). This study provides insights into patient response when a stroke occurs, with the presence and action of others highlighted as critical in fast response to stroke symptoms. Knowledge of stroke warning signs and risk factors was low among stroke survivors. Findings highlight the complexity of changi...Continue Reading

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Citations

Aug 15, 2017·Acta Neurologica Scandinavica·S RätyT Tatlisumak
Jun 22, 2018·Stroke; a Journal of Cerebral Circulation·Jing ZhaoRenyu Liu
Aug 14, 2020·Journal of Clinical Medicine·Raúl Soto-CámaraRemedios López-Liria
Jun 26, 2017·BMC Emergency Medicine·Caterina CaminitiUNKNOWN Educazione e Ritardo di Ospedalizzazione (E.R.O.I) study group
Dec 17, 2020·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·André C AmtoftChristina Kruuse
Jun 5, 2021·Brain and Behavior·Heidi S EddelienChristina Kruuse
Jun 22, 2021·Revue D'épidémiologie Et De Santé Publique·A KharbachR Razine

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