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LETTER TO EDITOR
Year : 2006  |  Volume : 54  |  Issue : 4  |  Page : 444

Stroke awareness program: The necessary facts for a successful campaign


1 SHO, Department of Neurology, University Hospital North Staffordshire, United Kingdom
2 Internal Medicine, Leeds Teaching Hospitals, United Kingdom

Correspondence Address:
Sandipan Pati
SHO, Department of Neurology, University Hospital North Staffordshire
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.28128

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How to cite this article:
Pati S, Nambron R. Stroke awareness program: The necessary facts for a successful campaign. Neurol India 2006;54:444

How to cite this URL:
Pati S, Nambron R. Stroke awareness program: The necessary facts for a successful campaign. Neurol India [serial online] 2006 [cited 2019 Jul 22];54:444. Available from: http://www.neurologyindia.com/text.asp?2006/54/4/444/28128


Sir

We read with interest the study published by Pandian et al ,[1] which is a hospital-based prospective study in Northwest India, evaluating the knowledge of stroke among stroke patients. This is an important study as it will help us to identify the extent and nature of an effective educational program needed for urban and semi-rural parts of India.

Based on this study we would like to draw attention to certain aspects:

1) Seventy-three per cent of participants in the study were not able to recognize the symptom although 62% of them had the knowledge of at least one warning symptom. Furthermore, 83% of them were having higher education and lived in urban area. This is a disturbing fact as it signifies that knowledge of symptom and identifying them during onset are two different issues. Stroke can present in many ways and it is important that we reinforce the link between different presentations of stroke and its diagnosis, in educational programs. Higher education improves knowledge about the disease but one's perception towards it may still be different and doctors need to explore that fact. Regardless of the manner in which stroke prevention information is communicated to patients, it is important for providers to submit feedback regarding what the patient actually understands and believes.[2]

2) The study did not specify whether the present stroke patients had any previous history of cerebrovascular accident or suspected TIA as in that case the knowledge of the subjects about the disease will be better.

3) Further, we gather from the study that 27% of patients were able to self-recognize stroke symptoms and 38% of patients arrived at the hospital early, within six hours. However, the study does not attempt to correlate these two data to specify how many among the 27% arrived early at hospital. This would be interesting as it would reveal whether all patients who recognized stroke symptoms were able to interpret the symptom as "emergency" and sought appropriate help immediately. Studies have shown that even after self-recognition of stroke symptoms, patients have responded late as they interpreted their symptoms as "not serious".[3]

For prompt treatment and prevention of stroke effective educational campaigns are necessary. While designing these programs it should be recognized that patients often fail to identify and misinterpret stroke symptoms and this is independent of their educational status.

 
  References Top

1.Pandian JD, Kalra G, Jaison A, Deepak SS, Shamsher S, Singh Y, et al . Knowledge of stroke among stroke patients and their relatives in Northwest India. Neurol India 2006;54:152-6.  Back to cited text no. 1    
2.Samsa GP, Cohen SJ, Goldstein LB, Bonito AJ, Duncan PW, Enarson C, et al . Knowledge of risk among patients at increased risk for stroke. Stroke 1997;28:916-21.  Back to cited text no. 2    
3.Williams LS, Bruno A, Rouch D, Marriott DJ. Stroke patient's knowledge of stroke: Influence on time of presentation. Stroke 1997;28:912-5.  Back to cited text no. 3  [PUBMED]  [FULLTEXT]




 

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