Deans' stroke musings: One-Third of US Adults Lack Recommended Stroke Knowledge

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, December 15, 2020

One-Third of US Adults Lack Recommended Stroke Knowledge

This is the extremely visible sign that the go to intervention for the stroke medical world is to 'blame the patient'. This way they don't have to solve the 100% recovery problem. YOU didn't have the right stroke, at the right time, in the right place. So there!

One-Third of US Adults Lack Recommended Stroke Knowledge

Roughly two-thirds of US adults know the 5 signs and symptoms of stroke and the importance of calling emergency medical services following stroke onset; this suggests more public outreach and education is needed to further reduce delays in initiation of appropriate stroke care, according to data published in the Centers for Disease Control and Prevention (CDC) MMWR Morbidity and Mortality Weekly Report.

In the report, officials from the CDC highlight data from a 2017 National Health Interview Survey (NHIS) of 26,076 adults aged at least 20 years old. Using these survey data, investigators assessed the overall prevalence of “recommended stroke knowledge,” otherwise known as the knowledge of the 5 signs and symptoms of stroke and the immediate need to call 9-1-1. The 5 signs and symptoms include numbness in the face and extremities, confusion and difficulty speaking, sudden trouble seeing, trouble walking, and sudden severe headache.

Most respondents to the NHIS could recognize at least 1 symptom and sign of stroke, and the majority of participants knew to call emergency medical services immediately following the onset of these signs/symptoms (96.3%). Knowledge was highest for facial and extremity numbness (94.4%), followed by confusion and difficulty speaking (93.6%), trouble walking (90.8%), sudden trouble seeing (83.5%), and sudden severe headache (76.5%). Collectively, 69.1 percent of respondents knew all 5 stroke signs and symptoms, and 67.5 percent of respondents knew all 5 signs and symptoms and knew to call 9-1-1.

Study researchers observed differences in recommended stroke knowledge between subgroups, ranging from 57.8% among Hispanic adults to 71.3% among non-Hispanic White adults. Additionally, the prevalence of recommended stroke knowledge ranged from 54.8% in adults with less than a high school education to 73.1% for those who were college graduates. Significant disparities in recommended stroke knowledge continued to persist after multivariable adjustment.

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Limitations of the CDC report were the reliance on self-reported data, potential recall and social desirability bias, inability of questions to address all stroke signs and symptoms, the use of yes/no questions, and the lack of an established standard for stroke awareness.

The report suggests that “focused public health efforts, community engagement, innovative strategies to tailor messaging, and continued advances in clinical care and coordination might help address stalled declines in stroke mortality” and that “increasing awareness of the signs and symptoms of stroke continues to be a national priority.”