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Published on: December 16, 2022
Stroke recognition among individuals with stroke risk factors
Charles Ellis1, Leonard E Egede
1Department of Rehabilitation Sciences, Medical University of South Carolina, Charleston, South Carolina 29425, USA.
The American Journal of the Medical Sciences
|December 6, 2008
Summary
While individual stroke warning signs are recognized, knowing all five and calling 9-1-1 is low, especially for those without stroke risk factors. Prior stroke increases recognition and action.
Area of Science:
- Public Health
- Epidemiology
- Neurology
Background:
- Assessing public awareness of the five early warning signs of stroke.
- Evaluating the appropriate first action (calling 9-1-1) for stroke symptoms.
- Comparing awareness across different stroke risk groups.
Purpose of the Study:
- To examine the recognition of all five early warning signs/symptoms of stroke.
- To determine the appropriate first action (calling 9-1-1) across various stroke risk groups.
- To analyze awareness differences between individuals with no stroke risk factors, stroke risk factors, and prior stroke.
Main Methods:
- Utilized data from 264,684 adults from the 2003 Behavioral Risk Factor Surveillance System.
- Employed multiple logistic regression analysis, controlling for covariates.
- Compared recognition rates and appropriate action among three distinct stroke risk groups.
Main Results:
- Individual stroke warning sign recognition ranged from 82% to 98%.
- Cumulative recognition of all five signs was significantly lower, ranging from 12.6% (no risk factors) to 30.8% (prior stroke).
- Combined recognition of all five signs and calling 9-1-1 was also low (11.2% to 26.1%), but higher in the prior stroke group.
Conclusions:
- Individual stroke symptom recognition is generally high.
- However, cumulative recognition of all five warning signs and prompt 9-1-1 action remains critically low.
- Individuals with a prior stroke demonstrated higher recognition and appropriate action compared to those with risk factors or none.
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