Prevailing Knowledge about Stroke Symptoms and Treatment Options Among the Relatives of Non-Stroke Patients

Indian Journal of Applied Basic Medical Sciences
Year: 2019, Volume: 21(A), Issue. (1), January
First page: (334) Last page: (345)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

Prevailing Knowledge about Stroke Symptoms and Treatment Options Among the Relatives of Non-Stroke Patients
Mehul Gajjar1, Bhavesh Jarwani2*, Adwait Thakor3, Nolesh Patel4, Rushi Patel5
1-5Dept of Emergency Medicine, VSGH, Smt. NHLM Medical College, Ahmedabad Pin 380006
Corresponding author email id: bhaveshjarwani@hotmail.com

Online Published on 02-Jan-2019

ABSTRACT

Background- This study assessed public awareness of warning symptoms, risk factors, and treatment of stroke in Gujarat. In spite of huge burden affecting the people in their prime period of life, resulting large number of death and huge burden of disability, no definite awareness programs are chalked in India.This study Purpose—This study is planned to assess public awareness of warning symptoms, risk factors, and treatment of stroke among the lay persons.Method : cross sectional survey based study of the relatives of the patients. The relatives to the stroke patients are excluded from the survey to prevent the bias.The study was carried out at VSGH from March2018 to May 2018.For this study, trained resident, with good vernacular language command interviewed subjects using structured, predefined, open ended questions.Results—1000 subjects were interviewed during the study period (62.4% men, mean age 40.1 years, age range 15 to 80 years). 32 percent of the subjects did not recognize the brain as the affected organ in stroke. In the multivariate analysis, higher education (P value<0.001; odds ratio 3.2; 95%, CI 1.3 to 2.8) correlated with a better knowledge of which organ was affected in stroke.42% of the participants did not know a single warning symptom of stroke. 21% of the subjects could not identify even a single risk factor for stroke. 23% of the study population believed that oil massage would improve stroke victims. A small proportion of subjects believed in “Bhuva” (witchcraft, 3%), faith healing (11%).12% understood the importance of the “Time” as a prime factor of the outcome. In the multivariate analysis, even higher education (P value<0.001; odds ratio 6.2; 95%, CI 1.3 to 4.8) correlated with a poor knowledge of the timely intervention. 42% understand the importance of CT scan brain in such cases, however of these only 21 % knew , where the facility is available.Conclusions—This hospital-based survey reveals a very poor awareness of stroke warning signs, risk factors, treatment options. There is extreme poor awareness about importance of time frame among even the highly educated people. Hence, considerable awareness program are needed to increase public awareness about the stroke symptoms, risk factors and modern concepts of stroke treatment.

Keywords

stroke awareness, thrombolytic.

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