MD, MSc. Nephrologist and Assistant Professor, University Hospital, School of Medicine, Universidade Federal do Vale do São Francisco (UNIVASF), Petrolina (PE), Brazil.
Undergraduate Medicine Student, School of Medicine, Universidade Federal do Vale do São Francisco (UNIVASF), Petrolina (PE), Brazil.
Sao Paulo Med J. 2023 Jul 31;142(1):e2022644. doi: 10.1590/1516-3180.2022.0644.R1.24042023. eCollection 2023.
Stroke is a major cause of mortality worldwide. Renal dysfunction is an important risk factor for stroke. Brazilian studies on stroke knowledge are generally population based. Studies stratifying stroke knowledge according to comorbidities are rare. Scientific data are essential to guide the awareness of stroke.
To assess stroke knowledge in patients with chronic kidney disease (CKD) on hemodialysis.
Cross-sectional analytical study of patients with CKD on hemodialysis in north-eastern Brazil.
A self-administered questionnaire survey on stroke awareness was administered to patients with CKD on hemodialysis between April and November 2022. The chi-square test and other descriptive statistics were used. Univariate and multivariate analyses were performed using logistic regression.
A total of 197 patients were included in the analysis. The Brazilian acronym for stroke was used by 53.5% of the participants. Less than 10.0% of the sample showed optimal decision-making ability regarding stroke. Of the participants, 29.9% knew at least one risk factor and one symptom; however, this was considered as having below the minimum capacity because they did not know the emergency service call number. In the analysis adjusted for income and education, females (odds ratio [OR], 0.40%; 95% confidence interval [CI], 0.20-0.82), older patients (OR, 0.24%; 95% CI, 0.09-0.63) and having at most one comorbidity (OR, 0.48%; 95% CI, 0.23-0.98) were factors for lower levels of knowledge or ideal decision-making capacity against stroke.
Patients on hemodialysis, especially women and older people, have little knowledge about stroke.
中风是全球范围内主要的死亡原因之一。肾功能不全是中风的一个重要危险因素。巴西的中风知识研究通常基于人群。根据合并症对中风知识进行分层的研究很少。科学数据对于指导中风意识至关重要。
评估血液透析慢性肾脏病（CKD）患者的中风知识。
巴西东北部血液透析慢性肾脏病患者的横断面分析性研究。
2022 年 4 月至 11 月期间，对血液透析的 CKD 患者进行了中风意识的自我管理问卷调查。使用卡方检验和其他描述性统计进行分析。使用逻辑回归进行单变量和多变量分析。
共纳入 197 名患者进行分析。53.5%的参与者使用了巴西中风的首字母缩写。不到 10.0%的样本在中风决策方面表现出最佳能力。29.9%的参与者至少知道一种风险因素和一种症状，但这被认为是低于最低能力，因为他们不知道急救服务的电话号码。在调整收入和教育的分析中，女性（比值比[OR]，0.40%；95%置信区间[CI]，0.20-0.82）、年龄较大的患者（OR，0.24%；95%CI，0.09-0.63）和合并症不超过一种（OR，0.48%；95%CI，0.23-0.98）是知识水平较低或对中风做出理想决策能力的因素。
血液透析患者，尤其是女性和老年人，对中风的了解甚少。
