Mikulík Robert, Bunt Laura, Hrdlicka Daniel, Dusek Ladislav, Václavík Daniel, Kryza Jirí
Department of Neurology, Masaryk University, St. Anne University Hospital, Pekarska 53, 656 91, Brno, Czech Republic.
Stroke. 2008 Jun;39(6):1844-9. doi: 10.1161/STROKEAHA.107.499806. Epub 2008 Apr 24.
Stroke treatment is time-dependent, yet no study has systematically examined response to individual stroke symptoms in the general population. This nationwide study identifies which specific factors prompt correct response (calling 911) to stroke.
Between November and December of 2005, a survey using a 3-stage random-sampling method including area, household, and household member sampling was conducted throughout the Czech Republic. Participants >40 years old were personally interviewed via a structured and standardized questionnaire concerning general knowledge and correct response to stroke as assessed by the Stroke Action Test (STAT). Predictors of scoring >50% on STAT were identified by multiple regression.
A total of 650 households were contacted, yielding 592 interviews (response rate 91%). Mean age was 58+/-12, 55% women. Sixty-nine percent thought stroke was serious condition, and 57% thought it could be treated. Also 54% correctly named >/=2 risk factors, and 46% named >/=2 warning signs. Eighteen percent of respondents scored >50% on STAT. The predictors of such a score were age (for each 10-year increment, OR 1.4, 95% CI 1.2 to 1.7), secondary school education (OR 1.7, 95% CI 1.1 to 2.6), knowing that stroke is a serious disease (OR 1.8, 95% CI 1.1 to 3.1), and knowing that stroke is treatable (OR 2.0, 95% CI 1.2 to 3.2).
Knowledge about stroke in the Czech Republic was fair, yet response to warning signs was poor. Our study is the first to identify that calling 911 was influenced by knowledge that stroke is a serious and treatable disease and not by recognition of symptoms.
中风治疗具有时间依赖性，但尚无研究系统地调查普通人群对个体中风症状的反应。这项全国性研究确定了哪些特定因素促使人们对中风做出正确反应（拨打911）。
2005年11月至12月期间，在捷克共和国全境采用三阶段随机抽样方法进行了一项调查，包括地区、家庭和家庭成员抽样。对40岁以上的参与者通过结构化和标准化问卷进行个人访谈，问卷内容涉及一般知识以及通过中风行动测试（STAT）评估的对中风的正确反应。通过多元回归确定在STAT上得分超过50%的预测因素。
共联系了650户家庭，获得592份访谈（回复率91%）。平均年龄为58±12岁，女性占55%。69%的人认为中风是严重疾病，57%的人认为中风可以治疗。此外，54%的人正确说出了≥2个危险因素，46%的人说出了≥2个警示信号。18%的受访者在STAT上得分超过50%。该得分的预测因素包括年龄（每增加10岁，比值比为1.4，95%置信区间为1.2至1.7）、中学教育程度（比值比为1.7，95%置信区间为1.1至2.6）、知道中风是严重疾病（比值比为1.8，95%置信区间为1.1至3.1）以及知道中风可治疗（比值比为2.0，95%置信区间为1.2至3.2）。
捷克共和国对中风的了解程度一般，但对警示信号的反应较差。我们的研究首次确定，拨打911受中风是严重且可治疗疾病这一认知的影响，而非对症状的识别。
