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- W137443294 abstract "Editor—Yoon and Byles found that the recognition of symptoms of stroke and risk factors for it was poor.1 Lack of knowledge results in delays in seeking medical care.2 As a result, patients with stroke may fail to gain the benefits of acute treatments—for example, acute thrombolysis—because of the narrow therapeutic window.3We conducted a large prospective questionnaire study among elderly patients attending a UK hospital clinic.4 Patients with established risk factors for stroke (atrial fibrillation, diabetes, hypertension, previous stroke, transient ischaemic attack) were interviewed. A total of 410 patients (mean age 78) gave their responses to a semi-structured questionnaire.Altogether 336 patients could identify the symptoms of stroke correctly; the remainder were not sure or gave incorrect answers. Forty one thought that stroke is caused by damage to the heart, and 353 correctly correlated stroke with brain damage. On free recall, 267 correctly identified at least one established risk factor for stroke; the rest did not know any. The commonest perceived risk factor was stress (reported by 213) and the second commonest was hypertension (n=197).When patients were asked to choose risk factors for stroke (on a questionnaire with closed questions containing both correct and incorrect responses) stress was again identified as the commonest factor (by 254 patients). Many subjects reported other incorrect risk factors—for example, liver disease, cold, no rest. Only 62 patients considered themselves to be at increased risk of stroke because of underlying disease. Few subjects (n=90) had been informed by a health professional that their underlying condition predisposed them to stroke.Our results show that understanding about symptoms of stroke, risk factors, perceived risk, and organ affected was incomplete among a population at risk. We agree with Yoon and Byles that educational strategies are needed to correct misconceptions and to enable patients to seek medical help and early treatments for stroke.5 Effective educational programmes could also increase public awareness of stroke." @default.
- W137443294 created "2016-06-24" @default.
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- W137443294 date "2002-08-17" @default.
- W137443294 modified "2023-09-25" @default.
- W137443294 title "General perception of stroke" @default.
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- W137443294 cites W2016187107 @default.
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- W137443294 doi "https://doi.org/10.1136/bmj.325.7360.392/a" @default.
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