The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools

Detalhes bibliográficos
Autor(a) principal: Calderaro, Marcelo
Data de Publicação: 2022
Outros Autores: Salles, Igor C., Gouvêa, Gabriela B., Monteiro, Vinícius S., Mansur, Antonio P., Shinohara, Henrique N.I., Aikawa, Priscila, Umeda, Iracema I.K., Semeraro, Federico, Carmona, Maria José C., Böttiger, Bernd W., Nakagawa, Naomi K.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Clinics
Texto Completo: https://www.revistas.usp.br/clinics/article/view/213494
Resumo: Objective: Stroke is an important cause of disability and death in adults worldwide. However, it is preventable in most cases and treatable as long as patients recognize it and reach capable medical facilities in time. This community-based study investigated students' stroke knowledge, Emergency Medical Services (EMS) activation, associated risk factors, warning signs and symptoms, and prior experience from different educational levels in the KIDS SAVE LIVES BRAZIL project. Methods: The authors conducted the survey with a structured questionnaire in 2019‒2020. Results: Students from the elementary-school (n = 1187, ∼13 y.o., prior experience: 14%, 51% women), high-school (n = 806, ∼17 y.o., prior experience: 13%, 47% women) and University (n = 1961, ∼22 y.o., prior experience: 9%, 66% women) completed the survey. Among the students, the awareness of stroke general knowledge, associated risk factors, and warning signs and symptoms varied between 42%‒66%. When stimulated, less than 52% of the students associated stroke with hypercholesterolemia, smoking, diabetes, and hypertension. When stimulated, 62%‒65% of students recognized arm weakness, facial drooping, and speech difficulty; only fewer identified acute headache (43%). Interestingly, 67% knew the EMS number; 81% wanted to have stroke education at school, and ∼75% wanted it mandatory. Women, higher education, and prior experience were associated with higher scores of knowing risk factors (OR = 1.28, 95% CI: 1.10‒1.48; OR = 2.12, 95% CI: 1.87‒2.40; OR = 1.46, 95% CI: 1.16‒1.83; respectively), and warning signs- symptoms (OR = 2.22, 95% CI: 1.89‒2.60; OR = 3.30, 95% CI: 2.81‒3.87; OR = 2.04, 95% CI: 1.58‒2.63; respectively). Conclusion: Having higher education, prior experience, and being a woman increases stroke-associated risk factors, and warning signs and symptoms identification. Schoolchildren and adolescents should be the main target population for stroke awareness.
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spelling The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schoolsStrokeAdolescentsChildrenFASTRisk factorsSigns and symptomsObjective: Stroke is an important cause of disability and death in adults worldwide. However, it is preventable in most cases and treatable as long as patients recognize it and reach capable medical facilities in time. This community-based study investigated students' stroke knowledge, Emergency Medical Services (EMS) activation, associated risk factors, warning signs and symptoms, and prior experience from different educational levels in the KIDS SAVE LIVES BRAZIL project. Methods: The authors conducted the survey with a structured questionnaire in 2019‒2020. Results: Students from the elementary-school (n = 1187, ∼13 y.o., prior experience: 14%, 51% women), high-school (n = 806, ∼17 y.o., prior experience: 13%, 47% women) and University (n = 1961, ∼22 y.o., prior experience: 9%, 66% women) completed the survey. Among the students, the awareness of stroke general knowledge, associated risk factors, and warning signs and symptoms varied between 42%‒66%. When stimulated, less than 52% of the students associated stroke with hypercholesterolemia, smoking, diabetes, and hypertension. When stimulated, 62%‒65% of students recognized arm weakness, facial drooping, and speech difficulty; only fewer identified acute headache (43%). Interestingly, 67% knew the EMS number; 81% wanted to have stroke education at school, and ∼75% wanted it mandatory. Women, higher education, and prior experience were associated with higher scores of knowing risk factors (OR = 1.28, 95% CI: 1.10‒1.48; OR = 2.12, 95% CI: 1.87‒2.40; OR = 1.46, 95% CI: 1.16‒1.83; respectively), and warning signs- symptoms (OR = 2.22, 95% CI: 1.89‒2.60; OR = 3.30, 95% CI: 2.81‒3.87; OR = 2.04, 95% CI: 1.58‒2.63; respectively). Conclusion: Having higher education, prior experience, and being a woman increases stroke-associated risk factors, and warning signs and symptoms identification. Schoolchildren and adolescents should be the main target population for stroke awareness.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2022-06-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/21349410.1016/j.clinsp.2022.100052Clinics; Vol. 77 (2022); 100052Clinics; v. 77 (2022); 100052Clinics; Vol. 77 (2022); 1000521980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/213494/195591Copyright (c) 2023 Clinicsinfo:eu-repo/semantics/openAccessCalderaro, MarceloSalles, Igor C.Gouvêa, Gabriela B.Monteiro, Vinícius S.Mansur, Antonio P.Shinohara, Henrique N.I.Aikawa, PriscilaUmeda, Iracema I.K.Semeraro, FedericoCarmona, Maria José C.Böttiger, Bernd W.Nakagawa, Naomi K.2023-07-06T13:04:57Zoai:revistas.usp.br:article/213494Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2023-07-06T13:04:57Clinics - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools
title The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools
spellingShingle The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools
Calderaro, Marcelo
Stroke
Adolescents
Children
FAST
Risk factors
Signs and symptoms
title_short The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools
title_full The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools
title_fullStr The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools
title_full_unstemmed The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools
title_sort The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools
author Calderaro, Marcelo
author_facet Calderaro, Marcelo
Salles, Igor C.
Gouvêa, Gabriela B.
Monteiro, Vinícius S.
Mansur, Antonio P.
Shinohara, Henrique N.I.
Aikawa, Priscila
Umeda, Iracema I.K.
Semeraro, Federico
Carmona, Maria José C.
Böttiger, Bernd W.
Nakagawa, Naomi K.
author_role author
author2 Salles, Igor C.
Gouvêa, Gabriela B.
Monteiro, Vinícius S.
Mansur, Antonio P.
Shinohara, Henrique N.I.
Aikawa, Priscila
Umeda, Iracema I.K.
Semeraro, Federico
Carmona, Maria José C.
Böttiger, Bernd W.
Nakagawa, Naomi K.
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Calderaro, Marcelo
Salles, Igor C.
Gouvêa, Gabriela B.
Monteiro, Vinícius S.
Mansur, Antonio P.
Shinohara, Henrique N.I.
Aikawa, Priscila
Umeda, Iracema I.K.
Semeraro, Federico
Carmona, Maria José C.
Böttiger, Bernd W.
Nakagawa, Naomi K.
dc.subject.por.fl_str_mv Stroke
Adolescents
Children
FAST
Risk factors
Signs and symptoms
topic Stroke
Adolescents
Children
FAST
Risk factors
Signs and symptoms
description Objective: Stroke is an important cause of disability and death in adults worldwide. However, it is preventable in most cases and treatable as long as patients recognize it and reach capable medical facilities in time. This community-based study investigated students' stroke knowledge, Emergency Medical Services (EMS) activation, associated risk factors, warning signs and symptoms, and prior experience from different educational levels in the KIDS SAVE LIVES BRAZIL project. Methods: The authors conducted the survey with a structured questionnaire in 2019‒2020. Results: Students from the elementary-school (n = 1187, ∼13 y.o., prior experience: 14%, 51% women), high-school (n = 806, ∼17 y.o., prior experience: 13%, 47% women) and University (n = 1961, ∼22 y.o., prior experience: 9%, 66% women) completed the survey. Among the students, the awareness of stroke general knowledge, associated risk factors, and warning signs and symptoms varied between 42%‒66%. When stimulated, less than 52% of the students associated stroke with hypercholesterolemia, smoking, diabetes, and hypertension. When stimulated, 62%‒65% of students recognized arm weakness, facial drooping, and speech difficulty; only fewer identified acute headache (43%). Interestingly, 67% knew the EMS number; 81% wanted to have stroke education at school, and ∼75% wanted it mandatory. Women, higher education, and prior experience were associated with higher scores of knowing risk factors (OR = 1.28, 95% CI: 1.10‒1.48; OR = 2.12, 95% CI: 1.87‒2.40; OR = 1.46, 95% CI: 1.16‒1.83; respectively), and warning signs- symptoms (OR = 2.22, 95% CI: 1.89‒2.60; OR = 3.30, 95% CI: 2.81‒3.87; OR = 2.04, 95% CI: 1.58‒2.63; respectively). Conclusion: Having higher education, prior experience, and being a woman increases stroke-associated risk factors, and warning signs and symptoms identification. Schoolchildren and adolescents should be the main target population for stroke awareness.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-28
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/clinics/article/view/213494
10.1016/j.clinsp.2022.100052
url https://www.revistas.usp.br/clinics/article/view/213494
identifier_str_mv 10.1016/j.clinsp.2022.100052
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/clinics/article/view/213494/195591
dc.rights.driver.fl_str_mv Copyright (c) 2023 Clinics
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Clinics
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
dc.source.none.fl_str_mv Clinics; Vol. 77 (2022); 100052
Clinics; v. 77 (2022); 100052
Clinics; Vol. 77 (2022); 100052
1980-5322
1807-5932
reponame:Clinics
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Clinics
collection Clinics
repository.name.fl_str_mv Clinics - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||clinics@hc.fm.usp.br
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