Corpus Christi Medical Center Corpus Christi TX USA.
Advocate Aurora Research Institute, Aurora BayCare Medical Center, Advocate Health Green Bay WI USA.
J Am Heart Assoc. 2024 Oct;13(19):e035696. doi: 10.1161/JAHA.123.035696. Epub 2024 Sep 18.
Balance, Eye, Face, Arm, Speech, Time (BE FAST) was proposed to increase the public's ability to recognize more signs of stroke by adding balance (B) and eyesight changes (E) to the stroke acronym FAST (Face, Arm, Speech, Time). Previous prospective studies suggested these additions did not result in increased stroke detection.
A randomized, assessor blinded prospective pilot study assessed retention of BE FAST and FAST. The 174 participants were randomized to 1 of 2 education arms, educated similarly visually and auditorily, and retention was tested at 3 time points. Mnemonic recall was similar at 30 days (79.5% versus 69.8%, =0.104). Significantly lower retention was seen in the BE FAST group's ability to recall all symptoms at 3 to 5 minutes (75% versus 30.2%, <0.001), 60 minutes (70.5% versus 41.9%, <0.001), and 30 days (51.1% versus 24.4%, <0.001). Significantly higher retention was observed in the FAST group for partial recall at 3 to 5 minutes (94.3% versus 84.9%, =0.041), 60 minutes (86.4% versus 77.9%, =0.045), and 30 days (76.1% versus 59.3%, =0.012). For BE FAST, retention of more common symptoms at 30 days was lower for face (78.4% versus 60.5%, =0.010), speech (65.9% versus 47.7%, =0.015), and arm (63.6% versus 52.3%, =0.131).
Significantly higher retention and ability to recall stroke symptoms, fully or partially, was found with FAST. Adding B and E to FAST resulted in lower retention of more common symptoms.
URL: https://www.clinicaltrials.gov; Unique identifier: NCT06152016.
平衡、眼睛、面部、手臂、言语、时间（BE FAST）是通过在 FAST（面部、手臂、言语、时间）中风首字母缩写词中添加平衡（B）和视力变化（E）来增加公众识别更多中风迹象的能力。先前的前瞻性研究表明，这些添加并没有导致中风检测率的提高。
一项随机、评估者盲法前瞻性试点研究评估了 BE FAST 和 FAST 的保留情况。174 名参与者被随机分配到 2 个教育组中的 1 个，以相同的视觉和听觉方式接受教育，并在 3 个时间点进行保留测试。30 天时的记忆术回忆相似（79.5%对 69.8%，=0.104）。在 3 至 5 分钟（75%对 30.2%，<0.001）、60 分钟（70.5%对 41.9%，<0.001）和 30 天（51.1%对 24.4%，<0.001）时，BE FAST 组回忆所有症状的能力明显较低。在 FAST 组中，3 至 5 分钟（94.3%对 84.9%，=0.041）、60 分钟（86.4%对 77.9%，=0.045）和 30 天（76.1%对 59.3%，=0.012）时部分回忆的保留率更高。对于 BE FAST，30 天时更常见症状的保留率更低：面部（78.4%对 60.5%，=0.010）、言语（65.9%对 47.7%，=0.015）和手臂（63.6%对 52.3%，=0.131）。
FAST 可显著提高和保留对中风症状的记忆，无论是完全还是部分记忆。在 FAST 中添加 B 和 E 会导致更常见症状的保留率降低。
