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圣保罗人群对脑卒中的认知:世界脑卒中运动中的一项横断面研究。

Popular knowledge of stroke in São Paulo: a cross-sectional study within the World Stroke Campaign.

机构信息

MD. Resident Physician, Discipline of Neurology, Department of Medicine, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo (SP), Brazil.

MD. Resident Physician, Department of Surgery, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo (SP), Brazil.

出版信息

Sao Paulo Med J. 2021 Mar-Apr;139(2):117-122. doi: 10.1590/1516-3180.2020.0116.R1.18112020.

DOI:10.1590/1516-3180.2020.0116.R1.18112020
PMID:33729417
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9632521/
Abstract

BACKGROUND

Stroke is the second leading cause of death in Brazil and the main cause of disability. Inability to identify alarm signals causes delays in seeking emergency services, thereby leading to a worse prognosis.

OBJECTIVES

To assess the population's knowledge of how to recognize and prevent stroke.

DESIGN AND SETTING

Prospective cross-sectional study on data derived from a questionnaire that was administered during the 2016 World Stroke Campaign, launched in the city of São Paulo, Brazil.

METHODS

Data on 806 interviewees were evaluated using descriptive statistics and univariate and multivariate analyses.

RESULTS

Among all the interviewees, 52.1% knew how to conceptualize stroke; 70.07% knew someone who had suffered a stroke; and 29.03% listed three or more risk factors. Only 27.5% mentioned controlling high blood pressure as a preventive measure. In the event of witnessing a stroke, 57.8% would call the emergency service and 2.9% would check the timing. Less educated individuals were 5.6 times more likely (95% confidence interval, CI 3.45-9.02) to have poor knowledge of stroke, compared with the more educated group. Knowing someone who had had a stroke reduced the chances of not knowing the terms relating to the disease (odds ratio, OR = 0.56; 95% CI 0.4-0.78).

CONCLUSIONS

Despite the severity and prevalence of stroke, the population still has little information on this disease. In this context, the importance of mounting campaigns to improve prevention and treatment and to contribute to healthcare policies becomes evident.

摘要

背景

在巴西,中风是导致死亡的第二大原因,也是导致残疾的主要原因。由于无法识别报警信号,导致寻求紧急服务的时间延迟,从而导致预后更差。

目的

评估公众对识别和预防中风的认知程度。

设计和设置

这是一项针对 2016 年世界中风运动期间在巴西圣保罗市进行的问卷调查数据的前瞻性横断面研究。

方法

使用描述性统计和单变量及多变量分析评估了 806 名受访者的数据。

结果

在所有受访者中,52.1%知道如何概念化中风;70.07%认识曾患过中风的人;29.03%列举了三个或更多的风险因素。只有 27.5%的人提到控制高血压是一种预防措施。如果目睹中风,57.8%的人会拨打急救电话,2.9%的人会检查时间。与受教育程度较高的人群相比,受教育程度较低的人对中风的认知较差的可能性高 5.6 倍(95%置信区间,CI 3.45-9.02)。认识曾患过中风的人会降低不了解与疾病相关术语的几率(比值比,OR = 0.56;95%CI 0.4-0.78)。

结论

尽管中风的严重性和普遍性很高,但公众对这种疾病的了解仍然很少。在这种情况下,开展提高预防和治疗水平的运动,为医疗保健政策做出贡献的重要性变得明显。

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Sao Paulo Med J. 2022 Jul-Aug;140(4):525-530. doi: 10.1590/1516-3180.2021.0659.R2.13102021.

本文引用的文献

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Knowledge about Stroke in Belo Horizonte, Brazil: A Community-Based Study Using an Innovative Video Approach.巴西贝洛奥里藏特市的中风知识:一项采用创新视频方法的社区研究。
Cerebrovasc Dis Extra. 2018;8(2):60-69. doi: 10.1159/000488400. Epub 2018 May 22.
2
Heart Disease and Stroke Statistics-2018 Update: A Report From the American Heart Association.《2018年心脏病和中风统计数据更新:美国心脏协会报告》
Circulation. 2018 Mar 20;137(12):e67-e492. doi: 10.1161/CIR.0000000000000558. Epub 2018 Jan 31.
3
2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association.2018 急性缺血性脑卒中患者早期管理指南:美国心脏协会/美国卒中协会医疗保健专业人员指南。
Stroke. 2018 Mar;49(3):e46-e110. doi: 10.1161/STR.0000000000000158. Epub 2018 Jan 24.
4
Popular stroke knowledge in Brazil: A multicenter survey during "World Stroke Day".巴西的中风常识:“世界中风日”期间的一项多中心调查。
eNeurologicalSci. 2016 Dec 16;6:63-67. doi: 10.1016/j.ensci.2016.12.002. eCollection 2017 Mar.
5
Global stroke statistics.全球中风统计数据。
Int J Stroke. 2017 Jan;12(1):13-32. doi: 10.1177/1747493016676285. Epub 2016 Oct 28.
6
Time to Treatment With Endovascular Thrombectomy and Outcomes From Ischemic Stroke: A Meta-analysis.血管内血栓切除术的治疗时间与缺血性中风的预后:一项荟萃分析。
JAMA. 2016 Sep 27;316(12):1279-88. doi: 10.1001/jama.2016.13647.
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Stroke is still a neglected disease in Brazil.在巴西,中风仍然是一种被忽视的疾病。
Sao Paulo Med J. 2015 Nov-Dec;133(6):457-9. doi: 10.1590/1516-3180.2015.13360510.
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Atlas of the Global Burden of Stroke (1990-2013): The GBD 2013 Study.《全球卒中负担图谱(1990 - 2013年):全球疾病负担研究2013》
Neuroepidemiology. 2015;45(3):230-6. doi: 10.1159/000441106. Epub 2015 Oct 28.
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Prevalence of stroke and associated disability in Brazil: National Health Survey--2013.巴西中风及相关残疾的患病率:2013年全国健康调查
Arq Neuropsiquiatr. 2015 Sep;73(9):746-50. doi: 10.1590/0004-282X20150115.
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Stroke awareness in Brazil: alarming results in a community-based study.巴西的中风认知情况:一项基于社区的研究结果令人担忧。
Stroke. 2008 Feb;39(2):292-6. doi: 10.1161/STROKEAHA.107.493908. Epub 2007 Dec 27.