Public Awareness of Stroke and the Appropriate Responses in China A Cross-Sectional Community-Based Study (FAST-RIGHT)

被引：3

作者：

Li, Shengde ^{[1
]}

Cui, Li-Ying ^{[1
,14
]}

Anderson, Craig ^{[2
,3
,16
,17
]}

Zhu, Suiqiang ^{[4
,22
]}

Xu, Ping ^{[5
,23
]}

Wei, Tiemin ^{[6
,24
]}

Luo, Yun ^{[7
,25
]}

Chen, Shengli ^{[8
,14
,26
]}

Jiang, Nan ^{[1
,14
]}

Hong, Yuehui ^{[1
,14
]}

Liu, Weidong ^{[9
,19
]}

Li, Jian ^{[10
,20
]}

Gao, Chunpeng ^{[11
,21
]}

Yu, Chengdong ^{[12
,18
]}

Shan, Guangliang ^{[12
,18
]}

Wang, Longde ^{[13
,15
]}

Peng, Bin ^{[1
,14
]}

Xu, Ping ^{[5
,23
]}

Wei, Tiemin ^{[6
,24
]}

Luo, Yun ^{[7
,25
]}

Chen, Shengli ^{[8
,14
,26
]}

Liu, Dan ^{[27
]}

Xie, Dongmei ^{[28
]}

Xu, Dong ^{[29
]}

Wei, Fei ^{[30
]}

Wu, Guanghui ^{[31
]}

Li, Hongyan ^{[32
]}

Luo, Hua ^{[33
]}

Min, Jie ^{[34
]}

Tang, Jinhai ^{[35
]}

Sun, Jun ^{[36
]}

Li, Luoqing ^{[37
]}

Yao, Qi ^{[38
]}

Liu, Shilin ^{[39
]}

Shi, Wei ^{[40
]}

Yan, Wei ^{[41
]}

Yu, Xiaofei ^{[42
]}

Luo, Xiaopeng ^{[43
]}

Peng, Xiaoxiang ^{[44
]}

Zhang, Ya ^{[45
]}

Gao, Yang ^{[46
]}

Peng, Ye ^{[47
]}

Xue, Yongling ^{[48
]}

Lin, Zhi ^{[49
]}

机构：

[1] Chinese Acad Med Sci, Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Neurol, Shuaifuyuan1, Beijing 100730, Peoples R China

[2] Univ New South Wales, Fac Med, George Inst Global Hlth, Neurol & Mental Hlth Div, Sydney, NSW, Australia

[3] Peking Univ, Hlth Sci Ctr, George Inst Global Hlth, Beijing, Peoples R China

[4] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Neurol, Wuhan, Hubei, Peoples R China

[5] Changde First Peoples Hosp, Dept Neurol, Changde, Hunan, Peoples R China

[6] Zhejiang Univ, Lishui Hosp, Dept Cardiol, Cent Hosp Lishui, Hangzhou, Zhejiang, Peoples R China

[7] First Peoples Hosp Jiujiang, Dept Cardiovasc, Jiujiang, Jiangxi, Peoples R China

[8] Chongqing Three Gorges Cent Hosp, Dept Neurol, Chongqing, Peoples R China

[9] Liaocheng Peoples Hosp, Dept Neurosurg, Liaocheng, Shandong, Peoples R China

[10] Weifang Med Univ, Affiliated Hosp, Dept Neurol, Weifang, Shandong, Peoples R China

[11] Dalian Municipal Cent Hosp, Dis Control & Prevent Off, Liaoning, Peoples R China

[12] Chinese Acad Med Sci, Inst Basic Med Sci, Dept Epidemiol & Stat, Beijing, Peoples R China

[13] Natl Hlth Commiss, Stroke Control Project Comm, Beijing, Peoples R China

[14] Peking Union Med Coll Hosp, Dept Neurol, Beijing, Peoples R China

[15] Natl Hlth Commiss, Stroke Control Project Comm, Beijing, Peoples R China

[16] Univ New South Wales, Fac Med, George Inst Global Hlth, Neurol & Mental Hlth Div, Sydney, NSW, Australia

[17] Peking Univ, Hlth Sci Ctr, George Inst Global Hlth, Beijing, Peoples R China

[18] Chinese Acad Med Sci, Inst Basic Med Sci, Dept Epidemiol & Stat, Beijing, Peoples R China

[19] Liaocheng Peoples Hosp, Dept Neurosurg, Liaocheng, Shandong, Peoples R China

[20] Weifang Med Univ, Affiliated Hosp, Dept Neurol, Weifang, Shandong, Peoples R China

[21] Dalian Municipal Cent Hosp, Dis Control & Prevent Off, Dalian, Liaoning, Peoples R China

[22] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Neurol, Wuhan, Hubei, Peoples R China

[23] Changde First Peoples Hosp, Dept Neurol, Changde, Hunan, Peoples R China

[24] Cent Hosp Lishui, Dept Cardiol, Lishui, Zhejiang, Peoples R China

[25] First Peoples Hosp Jiujiang, Dept Cardiovasc, Jiujiang, Jiangxi, Peoples R China

[26] Chongqing Three Gorges Cent Hosp, Dept Neurol, Chongqing, Peoples R China

[27] Jingmen First Peoples Hosp, Jingmen, Hubei, Peoples R China

[28] Liuzhou Workers Hosp, Liuzhou, Guangxi, Peoples R China

[29] Ningxia Peoples Hosp, Ningxia, Peoples R China

[30] Yichang Ctr Peoples Hosp, Yichang, Hubei, Peoples R China

[31] Ningde City Hosp, Ningde, Fujian, Peoples R China

[32] Peoples Hosp Xinjiang Uygur Autonomous Reg, Urumqi, Xinjiang, Peoples R China

[33] Southwest Med Univ, Affiliated Hosp, Luzhou, Sichuan, Peoples R China

[34] First Peoples Hosp Jingzhou, Jingzhou, Hubei, Peoples R China

[35] Jiangsu Prov Hosp, Nanjing, Jiangsu, Peoples R China

[36] Wenzhou Cent Hosp, Wenzhou, Zhejiang, Peoples R China

[37] First People Hosp Yueyang, Yueyang, Hunan, Peoples R China

[38] Xinyu Peoples Hosp, Xinyu, Jiangxi, Peoples R China

[39] Pingxiang Peoples Hosp, Pingxiang, Jiangxi, Peoples R China

[40] Nantong Univ, Affiliated Hosp, Nantong, Jiangsu, Peoples R China

[41] First Peoples Hosp Kashgar, Kashgar, Xinjiang, Peoples R China

[42] Shanghai Univ Tradit Chinese Med, Shuguang Hosp, Shanghai, Peoples R China

[43] Zhuzhou Cent Hosp, Zhuzhou, Hunan, Peoples R China

[44] Third Peoples Hosp Hubei Prov, Wuhan, Hubei, Peoples R China

[45] Dali Bai Autonomous Prefecture Peoples Hosp, Dali, Yunnan, Peoples R China

[46] Yancheng City First Peoples Hosp, Yancheng, Jiangsu, Peoples R China

[47] Harrison Int Peace Hostipal, Hengshui, Hebei, Peoples R China

[48] Qujing First Peoples Hosp, Qujing, Yunnan, Peoples R China

[49] Cent Peoples Hosp ZhanJiang, Zhanjiang, Guangdong, Peoples R China

来源：

STROKE | 2019年 / 50卷 / 02期

关键词：

awareness; emergency medical services; health education; health knowledge; attitudes; practice; reperfusion; stroke; ACUTE ISCHEMIC-STROKE; PREHOSPITAL DELAY; GLOBAL BURDEN; RISK-FACTORS; KNOWLEDGE; CARE; SYMPTOMS; DISEASE; CALL;

D O I：

10.1161/STROKEAHA.118.023317

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background and Purpose-Early presentation is critical for receiving effective reperfusion therapy for acute ischemic stroke, therefore, we undertook a national survey of awareness and responses to acute stroke symptoms in China. Methods-We undertook a cross-sectional community-based study of 187 723 adults (age >= 40 years) presenting to 69 administrative areas across China between January 2017 and May 2017 to determine the national stroke recognition rate and the correct action rate. Multivariable logistic regression models were used to identify factors associated with stroke recognition and intention-to-avail emergency medical services. Results-Estimates of stroke recognition rate and correct action rate were 81.9% (153 675/187 723) and 60.9% (114 380/187 723), respectively, but these rates varied widely by sociodemographic status, region, and stroke risk. Approximately one-third of participants who recognized a stroke failed to call emergency medical service. Low likelihood of emergency medical service use was associated with younger age (40-59 years), being male, rural location, (regions of east, south, and northwest China), high body mass index (>= 24), low education (primary school or below), low personal income (<US $731 per annum), living with immediate family, having multiple children (2), having a friend with stroke, exposure to less avenues to learn about stroke, nonsmoking, regular exercise, unknown family history, and no history of cardiovascular disease. Intention of calling emergency medical service was strongly related to awareness of stroke (odds ratio 2.05; 95% CI, 2.00-2.10; P<0.001). Conclusions-Substantial discrepancies exist between stroke recognition and correct action and not all stroke patients know the appropriate responses. Further, national stroke educational programs with specific plans targeting different groups are needed, which do not solely focus on stroke recognition, but also on the appropriate responses at the time of a stroke.

引用

页码：455 / 462

页数：8

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