I bet their definition of effective reperfusion therapy is not 100% recovery. And they are blaming patients and family for not getting to the hospital in time for ineffective therapy.
A Cross-Sectional Community-Based Study (FAST-RIGHT)
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and The FAST-RIGHT Investigators and Coordinators
Abstract
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.
Footnotes
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