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Stroke awareness in luxemburg: deficit concerning symptoms and risk factors
Dirk W Droste1, Jacqueline Safo2, René J Metz3
1Department of Neurology, University of Münster, Germany. ; CHL, Luxemburg, Luxemburg.
Insights
Many people know how to react to stroke symptoms, but lack knowledge of specific stroke signs and risk factors. Future campaigns should target immigrants, the elderly, and less-educated individuals to improve stroke prevention awareness.
Area of Science:
- Neurology
- Public Health
Background:
- Stroke prevention relies on awareness of risk factors, symptoms, and the need for urgent treatment.
- Limited data exists on stroke knowledge within the Luxembourg population.
Purpose of the Study:
- To assess the awareness of stroke risk factors and symptoms in Luxembourg.
- To identify knowledge gaps and inform targeted public health campaigns.
Main Methods:
- A questionnaire-based study was conducted with 420 participants (patients and relatives) at the Department of Neurology.
- Participant demographics included age, nationality, gender, and prior stroke/TIA history.
Main Results:
- While 88% knew stroke affects the brain, 10% identified no symptoms. Common symptoms recognized were paralysis, speech disorders, and visual issues.
- Key known risk factors included smoking, hypertension, and alcohol use; however, diabetes and heart disease were less recognized.
- Luxembourgers, younger individuals, and those with higher education levels demonstrated better stroke knowledge. Stroke/TIA patients knew symptoms but not appropriate emergency response.
Conclusions:
- Public awareness campaigns in Luxembourg should prioritize educating on stroke symptoms and risk factors.
- Targeted outreach is needed for immigrants, the elderly, less-educated individuals, and those with a history of stroke or TIA.
Background:
Awareness of stroke risk factors is important for stroke prevention. Knowledge of stroke symptoms and awareness regarding the necessity of seeking urgent stroke treatment are vital to provide rapid admission to a stroke unit. Data on this specific knowledge in Luxemburg are lacking.
Methods:
We investigated 420 patients from the Department of Neurology and their relatives using a questionnaire. There were 44% men and 56% women; 25% were immigrants and 75% Luxemburgish nationals; 13% already had had a stroke or transient ischemic attack (TIA); and the mean age was 55 years ranging from 18 to 87 years.
Results:
A total of 88% of participants knew that a stroke occurs in the head/brain. In all, 10% of participants did not know any symptom of a stroke. The most frequently quoted symptoms (>15%) were paralysis/weakness (36%), speech disorders (32%), cranial nerve deficit (16%), vertigo (15%), and visual disorders (15%). Sensory deficits were mentioned by only 4% of patients. Known risk factors (>15%) were smoking (40%), hypertension (32%), alcohol (32%), poor nutrition (28%), high cholesterol (26%), stress (23%), and lack of exercise (19%). Age (4%), diabetes (6%), carotid stenosis (2%), and heart disease (1%) were less frequently known. In all, 11% of participants did not know any risk factor of a stroke. A total of 89% of participants would correctly call the 112 (emergency phone number). The following groups were better informed: Luxemburgish nationals, younger people, and participants with higher education level. Stroke/TIA patients were better informed concerning stroke symptoms, but unfortunately not concerning how to react in the case of a stroke. There was no relevant gender difference.
Discussion:
Although most of the participants knew what to do in the case of a stroke, they did not know the relevant stroke symptoms and risk factors. Future campaigns should therefore focus on risk factors and symptoms, and should address immigrants, elderly persons, less-educated persons, and patients who had already suffered a stroke/TIA.
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