在基于人群的 EstEPA 项目中了解中风。
Stroke Knowledge in the EstEPA Project, a Population-Based Study.
机构信息
División de Neurología Vascular, Departamento de Neurología, Fleni, Ciudad Autónoma de Buenos Aires, Montañeses 2325 (C1428AQK), Buenos Aires, Argentina.
División de Neurología Vascular, Departamento de Neurología, Fleni, Ciudad Autónoma de Buenos Aires, Montañeses 2325 (C1428AQK), Buenos Aires, Argentina.
出版信息
J Stroke Cerebrovasc Dis. 2021 Feb;30(2):105471. doi: 10.1016/j.jstrokecerebrovasdis.2020.105471. Epub 2020 Nov 23.
OBJECTIVES
Stroke knowledge is poor in the general population worldwide. Yet, data from Spanish-Speaking populations, particularly in Latin America, are scant. We aim to evaluate stroke awareness using personal interviews in a population-based study.
MATERIALS AND METHODS
A questionnaire of stroke awareness was administered to a randomly selected sample of households. "Good stroke knowledge for action" was defined as recognition of impaired strength, sensation and language plus intention to seek urgent medical attention in a hypothetical stroke situation. Demographics, the term to name stroke, recognition of warning signs and attitude towards seeking medical attention were compared between individuals with and without "good stroke knowledge for action".
RESULTS
From 1986 respondents (87%, median age 59 years [IQR 23], 50.7% female), most recognized stroke as ACV (cerebrovascular accident, [63%]). Weakness/decreased sensation were recognized as stroke warning signs by 83.5% of respondents, followed by aphasia (77.9%), incoordination (71.6%) and headache (70.5%). Chest pain was misclassified as stroke warning sign by 25% of subjects. In a hypothetical stroke situation, most respondents would go to the hospital (52.3%), or activate the EMS (39%). Individuals with a good stroke knowledge for action (63.5%) recognized visual symptoms (60.4% vs 43.8, p<0.0001), incoordination (78.8% vs 34.4%, p<0.0001) and headache (70.5% vs. 57.8%, p<0.0001) more frequently, and were less likely to misrecognize chest pain as stroke warning sign (23.8% vs. 28.9%, p=0.015). Neither, age (OR 1 CI 0.99-1.00, p=0.94), gender (OR 0.95, CI 0.79-1.16, p=0.61) or race (OR 1.17, CI 0.97-1.42, p=0.097) predicted good stroke knowledge for action.
CONCLUSIONS
Most people recognize stroke as ACV. The recognition of stroke warning signs and the attitude towards seeking emergent medical attention appears acceptable. Yet, most respondents would go directly to the hospital avoiding the EMS.
目的
全世界普通人群对脑卒中的认识都很匮乏。然而，西班牙裔人群的数据，尤其是拉丁美洲的数据非常有限。我们旨在通过一项基于人群的研究，使用个人访谈来评估脑卒中的认知情况。
材料与方法
我们向随机选择的家庭样本发放了一份脑卒中认知调查问卷。“具有良好脑卒中行动意识”定义为能够识别出力量减弱、感觉丧失和语言障碍，并在假设的脑卒中情况下有意寻求紧急医疗救助。我们比较了具有和不具有“具有良好脑卒中行动意识”的个体之间的人口统计学特征、脑卒中名称术语、识别预警信号和寻求医疗救助的态度。
结果
在 1986 名受访者（87%，中位数年龄 59 岁[四分位距 23]，50.7%为女性）中，大多数人将脑卒中识别为 ACV（脑血管意外）[63%]。83.5%的受访者将无力/感觉减退识别为脑卒中预警信号，其次是失语症（77.9%）、不协调（71.6%）和头痛（70.5%）。25%的受试者将胸痛错误归类为脑卒中预警信号。在假设的脑卒中情况下，大多数受访者会去医院（52.3%）或激活 EMS（39%）。具有良好脑卒中行动意识的个体（63.5%）更频繁地识别出视觉症状（60.4%比 43.8%，p<0.0001）、不协调（78.8%比 34.4%，p<0.0001）和头痛（70.5%比 57.8%，p<0.0001），并且不太可能将胸痛错误识别为脑卒中预警信号（23.8%比 28.9%，p=0.015）。年龄（OR 1 CI 0.99-1.00，p=0.94）、性别（OR 0.95，CI 0.79-1.16，p=0.61）或种族（OR 1.17，CI 0.97-1.42，p=0.097）均不能预测具有良好脑卒中行动意识。
结论
大多数人将脑卒中识别为 ACV。对脑卒中预警信号的识别和对紧急医疗救助的态度似乎是可以接受的。然而，大多数受访者会直接去医院，而不是使用 EMS。
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