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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Awareness of necessity to call 9-1-1 for stroke symptoms, upstate New York

Janine M Jurkowski1, Dayna M Maniccia, Barbara A Dennison

  • 1Department of Health Policy, Management, and Behavior, University at Albany School of Public Health, 1 University Place, Rensselaer, NY 12144, USA. jjurkowski@albany.edu

Preventing Chronic Disease
|March 18, 2008
PubMed

Insights

Many adults do not recognize all stroke symptoms as urgent, delaying emergency care. A history of delaying medical attention significantly reduces the likelihood of calling 9-1-1 for stroke symptoms.

Area of Science:

  • Neurology
  • Public Health
  • Emergency Medicine

Background:

  • Stroke is a leading cause of death and disability in New York.
  • Less than 20% of stroke patients reach a stroke center within 3 hours.
  • Timely treatment, within 90 minutes, is crucial for better stroke outcomes.

Purpose of the Study:

  • To assess stroke knowledge among adults in upstate New York.
  • To identify factors influencing the intent to call 9-1-1 for stroke symptoms.

Main Methods:

  • A telephone survey of 1789 adults aged 30+ in upstate New York.
  • Utilized random-digit-dialing and list-assisted sampling.
  • Employed bivariate and regression analyses to examine intent to call 9-1-1.

Main Results:

  • 72.4% would call 9-1-1 for difficulty speaking; only 33.3% for vision problems.
  • Past delays in seeking medical care decreased the odds of calling 9-1-1 for stroke symptoms.
  • Age, education, and prior stroke/heart events did not consistently predict 9-1-1 intent.

Conclusions:

  • Some stroke symptoms are not perceived as urgent by the public, leading to delayed emergency response.
  • A history of delaying care is a significant behavioral predictor of not calling 9-1-1 for stroke.
  • Public education is needed to improve recognition of all stroke symptoms and promote timely emergency medical service activation.
Abstract

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