Stroke Awareness: A Cross-Sectional Analysis
DOI:
https://doi.org/10.25759/spmfr.475Keywords:
Awareness, Health Knowledge, Attitudes, Practice, Stroke/prevention and control, Stroke RehabilitationAbstract
Introduction: Our objective was to evaluate the awareness of cerebrovascular disease (CVD) diagnosis, risk factors, and potential for recurrence in hospitalized patients.Material and Methods: Cross-sectional analysis, with consecutive inclusion of 530 patients with stroke or transient ischemic attack (TIA) admitted to a tertiary-care center between May and November 2019. Inclusion criteria encompassed: 1) admission diagnosis of stroke or TIA and 2) age ≥18 years old. Exclusion criteria comprised 1) aphasia, 2) cognitive impairment or dementia, 3) depressed consciousness, 4) severe hypoacusia and 5) inability or refusal to provide written informed consent. A standardized questionnaire was applied in a face-to-face interview in the first 12 to 72 hours of hospitalization.
Results: Two-hundred, twenty patients were included, mostly males (58.2%; n=128), with a mean age of 68 years old. 23% (n=51) were unaware of their stroke or TIA diagnosis. Most patients did not recognize any risk factor for CVD by free recall. Yet, when confronted with a list of possible risk factors, hyperlipidemia (98%) and hypertension (97%) were the most recognized. A percentage of 74% (n=163) of the sample believed to be at risk of a new cerebrovascular event. Although 85% (n=188) agreed that the recurrence risk would decrease by controlling risk factors, only 66% (n=146) recognized appropriate strategies.
Conclusion: This study depicted suboptimal knowledge regarding stroke diagnosis, its’ risk factors, and the potential of recurrence in hospitalized patients with CVD. Prompt patient education strategies are warranted to promote behavior changes.
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