scholarly journals Stroke Awareness in Luxemburg: Deficit concerning Symptoms and Risk Factors

2014 ◽  
Vol 8s2 ◽  
pp. CMC.S15225 ◽  
Author(s):  
Dirk W. Droste ◽  
Jacqueline Safo ◽  
René J. Metz ◽  
Nani Osada
Keyword(s):  
Risk Factors ◽  
Speech Disorders ◽  
Elderly Persons ◽  
Specific Knowledge ◽  
Stroke Treatment ◽  
Stroke Risk Factors ◽  
Stroke Awareness ◽  
Lack Of Exercise ◽  
Ischemic Attack ◽  
Poor Nutrition

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.

scholarly journals THE MAIN FACTORS OF PREMATURE AGING OF THE HUMAN BODY AND THEIR PATHOGENETIC SIGNIFICANCE FROM THE STANDPOINT OF NEUROIMMUNE ENDOCRINE INTERACTIONS

2017 ◽  
Vol 19 (4) ◽  
pp. 41-46
Author(s):  
D S Medvedev ◽  
S A Bondarev ◽  
A G Shchurov ◽  
O A Churganov ◽  
D N Borisov
Keyword(s):  
Risk Factors ◽  
Adverse Effects ◽  
Human Body ◽  
Metabolic Disorders ◽  
Molecular Mechanisms ◽  
Premature Aging ◽  
Physiological Processes ◽  
Lack Of Exercise ◽  
Main Factors ◽  
Poor Nutrition

The results of a study aimed at the analysis of the main risk factors of premature aging of the human body and assessment of their pathogenic significance are presented in the article. According to the literature, the main risk factors for premature aging are: metabolic disorders, obesity, lack of exercise, bad habits (alcohol, smoking), weighed down by premature aging heredity, poor nutrition, prolonged and frequent episodes of nervous and mental overexertion. The assessment of the pathogenetic significance of these factors from the standpoint of neuroimmune endocrine interactions has been conducted. It has been shown that the considered risk factors have systemic adverse effects on the human body, activating different pathogenetic cellular and molecular mechanisms. The results of the study expand the understanding of the systemic adverse effects of risk factors on physiological processes and can be used in prevention of premature aging

scholarly journals Stroke Risk Factors, Subtypes and Outcome in Elderly Thai Patients

2021 ◽  
Author(s):  
Chatpol Samuthpongtorn ◽  
Tul Jereerat ◽  
Nijasri Suwanwela
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Ischemic Stroke ◽  
The Elderly ◽  
P Value ◽  
Younger Patients ◽  
Factors Associated ◽  
Stroke Risk Factors ◽  
History Of ◽  
Ischemic Attack

Abstract Background: Nowadays, the number of elderly has steadily increased annually. Elderly patients with ischemic stroke often have worse outcomes than younger patients. However, there has not been a study of ischemic stroke in the elderly in Thailand. A better knowledge of the risk factors, subtypes, and outcomes of strokes in the elderly may have significant practical implications for the aged society in the future. The objective of the study was to assess the risk factor, stroke subtypes, and outcome of stroke in the elderly compared to the younger patients.Method: All patients presented with acute ischemic stroke and transient ischemic attack (TIA) aged over 45 years who were admitted in the Stroke unit between November 1st, 2016 and December 31st, 2017 were retrospectively studied.Result: 542 patients were included. The average age was 68.78±12.03, 44.8% of them were male. 186 (34.3%) patients were 75 or older. Cardioembolism was found to be the most common cause of ischemic stroke in 156 patients (28.8%). Patients who were 75 or older had significantly worse outcomes in all categories including NIHSS at discharge, modified Rankin scale, length of stay and the number of deaths) compared to the younger group. Atrial fibrillation was the risk factors associated with older age with OR 3.861 (p value<0.001). Aged 75 years or older, atrial fibrillation, more NIHSS score on admission and history of the previous stroke were the risk factors associated with a patient's death.Conclusion: The elderly who are 75 years or older accounts for more than one-third of ischemic stroke in our study. Stroke in the elderly correlates with higher mortality and poorer outcome. Cardioembolism related to atrial fibrillation is the major cause of stroke in this population.

Shedding Light on the Causes and Characteristics of Stroke in Lebanon: A Systematic Review of Literature

2021 ◽  
pp. 089198872110447
Author(s):  
Abbott Gifford ◽  
Alessandro Biffi ◽  
Bizu Gelaye ◽  
Zeina Chemali
Keyword(s):  
Risk Factors ◽  
Lifestyle Changes ◽  
Mortality And Morbidity ◽  
Stroke Treatment ◽  
Global Trends ◽  
Stroke Risk Factors ◽  
Stroke Prevalence ◽  
Pubmed Database ◽  
Health Initiatives ◽  
The Cost

Background: The prevalence and severity of stroke in Lebanon has increased over the past decade and stroke is currently the second leading cause of death in the country. Methods: We systematically reviewed existing research on stroke prevalence, risk factors, mortality and morbidity of stroke, stroke treatment, and stroke education to assess the epidemiology of stroke in Lebanon. A literature search was conducted on the PubMed database for articles presenting data in any of these 5 categories in Lebanon, as well as articles discussing the Middle East and North Africa region generally. Results: A high prevalence of modifiable risk factors (cigarette and waterpipe smoking) and risk factors that could be mitigated by lifestyle changes (obesity and hypertension) were found in Lebanon. Stroke mortality rates and risk factors of mortality were consistent with global trends, though the cost of treatment in Lebanon was significantly higher than in other developing nations. Conclusion: Urgent public health initiatives are needed to educate the public about the dangers of modifiable stroke risk factors and to reduce the burden of stroke in Lebanon.

scholarly journals Stroke Epidemiology, Patterns of Management, and Outcomes in Fortaleza, Brazil

Stroke ◽  
2011 ◽  
Vol 42 (12) ◽  
pp. 3341-3346 ◽  
Author(s):  
João José Freitas de Carvalho ◽  
Monique Bueno Alves ◽  
Georgiana Álvares Andrade Viana ◽  
Cícera Borges Machado ◽  
Bento Fortunato Cardoso dos Santos ◽  
...  
Keyword(s):  
Risk Factors ◽  
Ischemic Stroke ◽  
Hospital Mortality ◽  
Hospital Admission ◽  
Median Time ◽  
Transient Ischemic Attack ◽  
Stroke Risk Factors ◽  
Level Of Consciousness ◽  
Ischemic Attack ◽  
Stroke Epidemiology

Background and Purpose— Little information exists on the epidemiology and patterns of treatment of patients admitted to Brazilian hospitals with stroke. Our objective was to describe the frequency of risk factors, patterns of management, and outcome of patients admitted with stroke in Fortaleza, the fifth largest city in Brazil. Methods— Data were prospectively collected from consecutive patients admitted to 19 hospitals in Fortaleza with a diagnosis of stroke or transient ischemic attack from June 2009 to October 2010. Results— We evaluated 2407 consecutive patients (mean age, 67.7±14.4 years; 51.8% females). Ischemic stroke was the most frequent subtype (72.9%) followed by intraparenchymal hemorrhage (15.2%), subarachnoid hemorrhage (6.0%), transient ischemic attack (3%), and undetermined stroke (2.9%). The median time from symptoms onset to hospital admission was 12.9 (3.8–32.5) hours. Hypertension was the most common risk factor. Only 1.1% of the patients with ischemic stroke received thrombolysis. The median time from hospital admission to neuroimaging was 3.4 (1.2–26.5) hours. In-hospital mortality was 20.9% and the frequency of modified Rankin Scale score ≤2 at discharge was less than 30%. Older age, prestroke disability, and having a depressed level of consciousness at admission were independent predictors of poor outcome; conversely, male gender was a predictor of good outcome. Conclusions— The prevalence of stroke risk factors and clinical presentation in our cohort were similar to previous series. Treatment with thrombolysis and functional independency after a stroke admission were infrequent. We also found long delays in hospital admission and in evaluation with neuroimaging and high in-hospital mortality.

scholarly journals Does stroke health promotion increase awareness of appropriate behavioural response? Impact of the face, arm, speech and time (FAST) campaign on population knowledge of stroke risk factors, warning signs and emergency response

2018 ◽  
Vol 3 (2) ◽  
pp. 117-125 ◽  
Author(s):  
Anne Hickey ◽  
Lisa Mellon ◽  
David Williams ◽  
Emer Shelley ◽  
Ronan M Conroy
Keyword(s):  
Risk Factors ◽  
Emergency Response ◽  
Odds Ratio ◽  
Stroke Risk ◽  
Behavioural Response ◽  
Warning Signs ◽  
Stroke Risk Factors ◽  
Stroke Awareness ◽  
Speech Time ◽  
The Face

Introduction Inability to identify stroke warning signs accurately is an important cause of delay in seeking medical attention, leading to potential ineligibility for acute intervention. We report on post-campaign findings (wave 2) of national surveys to estimate changes in population knowledge following a media-based Face, Arm, Speech, Time stroke awareness campaign, comparing findings to those of a pre-campaign population survey (wave 1). Participants and methods: One thousand and ten randomly selected adults (18+) completed the Stroke Awareness Questionnaire on knowledge of warning signs, risk factors and response to stroke at wave 2 and findings were compared to wave 1 survey results. Logistic regression was used to examine the association between demographic characteristics and self-reported risk factors with knowledge of stroke and emergency response. Results No significant differences existed in the ability of respondents to define stroke or to identify two or more stroke risk factors between waves 1 and 2 surveys (71% and 70%, respectively). Respondents to the wave 2 survey were five times more likely (odds ratio 4.9, p < .001) than those responding at wave 1 to know at least two warning signs of stroke (67% vs. 31%, respectively), specifically those targeted by the Face, Arm, Speech, Time campaign. While significant improvement in intention to call an ambulance was noted (odds ratio 1.5, p < .001, 57% at wave 2 compared to 47% at wave 1), for almost half of respondents (43%) this would not have been their first response to stroke. Less than 5% of respondents to both surveys identified thrombolysis as an emergency treatment for stroke (3.9% at wave 2 compared to 1.8% at wave 1). Discussion Although significant improvements were made in several areas of stroke knowledge and intended response, awareness of acute stroke interventions was poor and intended behavioural response was suboptimal. Conclusion Findings from this study indicate need for targeted campaigns to improve population understanding of the reasons underlying the importance of rapid emergency response to stroke.

scholarly journals Stroke awareness in the general population: knowledge of stroke risk factors and warning signs in older adults

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Anne Hickey ◽  
Ann O'Hanlon ◽  
Hannah McGee ◽  
Claire Donnellan ◽  
Emer Shelley ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
General Population ◽  
Stroke Risk ◽  
Warning Signs ◽  
Stroke Risk Factors ◽  
Stroke Awareness

Abstract P267: Does Admission for Transient Ischemic Attack Lead to Differences in 1-Year Outcomes?

2011 ◽  
Vol 4 (suppl_2) ◽  
Author(s):  
Eric Cheng ◽  
Michael Cline ◽  
Joshua Robinson ◽  
Laura Myers ◽  
Flossy Lincoln ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Stroke Risk ◽  
Composite Outcome ◽  
Diagnosis Code ◽  
Stroke Risk Factors ◽  
History Of ◽  
One Year ◽  
Ischemic Attack ◽  
New Diagnosis

Background: A new transient ischemic attack (TIA) is a risk factor for a future vascular event. Reducing that risk requires a timely diagnostic workup and delivering secondary stroke preventive services. It is unknown whether such care should be performed in the inpatient or outpatient setting. Methods: Using administrative databases, we identified all veterans with a diagnosis code for TIA assigned in the emergency department or urgent care setting in the Veterans Health Administration during fiscal year 2008. We calculated the proportion who were admitted and predictors of admission. At one-year after presentation of TIA, we examined the proportion who were assigned a new diagnosis code for stroke, myocardial infarction, or death. We then determined whether admission was associated with outcomes using chi-square and multivariate logistic models. Results: The sample consisted of 2247 persons with a new diagnosis of TIA, and 35% were admitted within one day of presentation. The mean age was 68, and 25% had a prior history of stroke or TIA. At one-year, 12.1% developed the composite outcome of stroke, myocardial infarction, and death. Older age, history of hypertension, atrial fibrillation, and diabetes were associated with admission (p<0.05). In unadjusted analyses, the composite outcome was not significantly different among persons admitted vs. not admitted (13.1% vs. 11.6%, p=0.29). In multivariate analyses, admission was not significantly associated with the composite outcome (see Table ). Discussion: Persons admitted for TIA are more likely to possess stroke risk factors than those who were not admitted. The decision to admit was not associated with differences in one-year outcomes. Ongoing work will compare the completeness and timeliness of the diagnostic work-up of TIA as well as long-term control of stroke risk factors among persons admitted versus persons not admitted. Predictors of 1-year stroke, myocardial infarction, or death among persons with TIA Odds ratio [95% CI] p-value Hospital admission within one day 1.0 [0.8 - 1.4] 0.7 Age 1.0 [1.0 -1.0] <0.001 History of hypertension 1.2 [0.9 - 1.7] 0.2 History of atrial fibrillation 1.5 [1.1 - 2.0] <0.05 History of diabetes 1.2 [0.9 - 1.5] 0.3 History of stroke 1.8 [1.3 - 2.5] <0.001 History of TIA 0.7 [0.5 - 1.1] 0.1 History of myocardial infarction 2.9 [1.3 - 6.1] <0.01

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