Background and Purpose New treatments for acute stroke will likely have to be given soon after stroke onset.
Little is known about stroke patients'general knowledge about stroke, their interpretation of stroke symptoms, and how these factors influence the timing of their decision to seek medical attention.
Methods We interviewed consecutive stroke patients within 72 hours of stroke onset to define factors influencing time of arrival to the emergency department.
Data recorded included demographic information, method of transportation, type of stroke symptoms, the patient's interpretation of the symptoms, previous stroke, and knowledge of stroke warning signs.
Stroke severity was measured with the Barthel Index.
Early arrival was defined as within 3 hours of awareness of symptoms.
Results Sixty-seven patients were interviewed ; 96% had an ischemic stroke and 4% a cerebral hemorrhage.
Although 38% of patients professed to know the warning signs of stroke, only 25% correctly interpreted their symptoms.
Patients with prior stroke were more likely to correctly interpret their symptoms (45% versus 16% ; P=03) but were not more likely to present early (19% versus 39% ; P=35).
Eighty-six percent of patients presenting more than 3 hours after stroke onset thought that their symptoms were not serious. (...)
Mots-clés Pascal : Accident cérébrovasculaire, Connaissance, Symptomatologie, Interprétation information, Temps arrivée, Temps retard, Admission hôpital, Moyen transport, Education santé, Influence, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Stroke, Knowledge, Symptomatology, Information interpretation, Arrival time, Delay time, Hospital admission, Transportation mode, Health education, Influence, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0320015
Code Inist : 002B30A01C. Création : 12/09/1997.