Stroke awareness in Brazil - Alarming results in a community-based study

Stroke awareness in Brazil - Alarming results in a community-based study

Author Pontes-Neto, Octavio Marques Google Scholar
Silva, Gisele Sampaio Autor UNIFESP Google Scholar
Feitosa, Marley Ribeiro Google Scholar
De Figueiredo, Nathalie Lobo Google Scholar
Fiorot Júnior, José Antonio Autor UNIFESP Google Scholar
Rocha, Talitha Nery Google Scholar
Massaro, Ayrton Roberto Autor UNIFESP Google Scholar
Leite, Joao Pereira Google Scholar
Institution Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Sch Med & Publ Hlth Bahia
Abstract Background and Purpose-Stroke is the leading cause of death in Brazil. This community-based study assessed lay knowledge about stroke recognition and treatment and risk factors for cerebrovascular diseases and activation of emergency medical services in Brazil.Methods-The study was conducted between July 2004 and December 2005. Subjects were selected from the urban population in transit about public places of 4 major Brazilian cities: S (a) over tildeo Paulo, Salvador, Fortaleza, and Ribeir (a) over tildeo Preto. Trained medical students, residents, and neurologists interviewed subjects using a structured, open-ended questionnaire in Portuguese based on a case presentation of a typical patient with acute stroke at home.Results-Eight hundred fourteen subjects were interviewed during the study period (53.9% women; mean age, 39.2 years; age range, 18 to 80 years). There were 28 different Portuguese terms to name stroke. Twenty-two percent did not recognize any warning signs of stroke. Only 34.6% of subjects answered the correct nationwide emergency telephone number in Brazil (# 192). Only 51.4% of subjects would call emergency medical services for a relative with symptoms of stroke. in a multivariate analysis, individuals with higher education called emergency medical services (P=0.038, OR=1.5, 95%, CI: 1.02 to 2.2) and knew at least one risk factor for stroke (P<0.05, OR=2.0, 95% CI: 1.2 to 3.2) more often than those with lower education.Conclusions-Our study discloses alarming lack of knowledge about activation of emergency medical services and availability of acute stroke treatment in Brazil. These findings have implications for public health initiatives in the treatment of stroke and other cardiovascular emergencies.
Keywords awareness
education
emergency medical services
risk factors
symptoms
Language English
Date 2008-02-01
Published in Stroke. Philadelphia: Lippincott Williams & Wilkins, v. 39, n. 2, p. 292-296, 2008.
ISSN 0039-2499 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 292-296
Origin http://dx.doi.org/10.1161/STROKEAHA.107.493908
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000252726100015
URI http://repositorio.unifesp.br/handle/11600/30399

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