| Perception and attitude towards stroke by professionals of emergency medical service in an urban city in southeastern Brazil. | |
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MedLine Citation:
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PMID: 19426889 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Stroke awareness by lay people in general is poor. It has been estimated that only as much as one third of patients with acute stroke reach emergency medical services within two hours of onset of their symptoms. We aimed to assess perception of and attitude towards a person with an acute stroke by professionals working in mobile unit of emergency medical service in the city of Campinas, Brazil. MATERIAL AND METHODS: The study was conducted during VII Stroke Workshop of Campinas in November 2007. We used an anonymous self-report questionnaire with a clinical case of an acute stroke with duration of 50 minutes. We asked two open-ended questions to gauge perception and attitude. RESULTS: One-hundred forty-nine of 205 (73%) participants answered the questionnaire; 49% were women, average age of 37 years (range 21-59). Ninety (60%) were professionals allied to medicine (nurses, health auxiliary, dentists), six (4%) were physicians, and 53 (36%) were other professionals (secretary, driver). In regard to perception, 142 of 149 (95%) had a correct perception of stroke. In regard to attitude, in general, the basic support measures have been pointed out, but only one (0.5%) mentioned an issue of time less than 3 hours for thrombolysis, four (2%) mentioned the possibility of thrombolysis, and 12 (8%) requested computed tomographic examination. DISCUSSION: It appears that professionals allied to medicine can diagnosis stroke of anterior circulation; however, they do not have thrombolytic therapy in mind, and this should be considered the default treatment for all patients with stroke within the "therapeutic window." |
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Authors:
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P T Fernandes; W M Avelar; S B Mory; R Hansen; L M Li |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association Volume: 18 ISSN: 1532-8511 ISO Abbreviation: J Stroke Cerebrovasc Dis Publication Date: 2009 May-Jun |
Date Detail:
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Created Date: 2009-05-11 Completed Date: 2009-07-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9111633 Medline TA: J Stroke Cerebrovasc Dis Country: United States |
Other Details:
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Languages: eng Pagination: 195-7 Citation Subset: IM |
Affiliation:
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Department of Neurology, Faculty of Medical Sciences, UNICAMP, Campinas, Brazil. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Attitude of Health Personnel* Brazil Cross-Sectional Studies Data Collection Emergency Medical Services* Female Humans Male Middle Aged Prospective Studies Questionnaires Stroke / diagnosis, therapy* Urban Population Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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