National Journal of Emergency Medicine SEMI

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 1 , ISSUE 2 ( May-August, 2023 ) > List of Articles

Original Article

Community Awareness regarding Stroke: A Survey-based Study Involving Family of Patients Presenting to an Indian Emergency Medicine Department

Sohini Chatterjee

Keywords : Acute ischaemic stroke, Stroke awareness, Thrombolysis

Citation Information : Chatterjee S. Community Awareness regarding Stroke: A Survey-based Study Involving Family of Patients Presenting to an Indian Emergency Medicine Department. 2023; 1 (2):44-47.

DOI: 10.5005/njem-11015-0014

License: CC BY-NC 4.0

Published Online: 05-12-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Background and purpose: Cases of acute ischaemic strokes (AIS) has risen globally over the past two decades. Early recognition of stroke is of utmost importance for timely interventions, treatment, and better outcomes. Public awareness regarding AIS across the world is poor. We aimed to gauge the awareness levels in the population visiting our emergency department (ED). Materials and methods: This was a prospective survey-based study conducted amongst the family members accompanying patients who presented to the ED over 6 months. They were provided with a 3-part, 18-question questionnaire (English or Hindi) by emergency physicians during their respective shifts. Socioeconomic status, demographic details, and educational levels were also recorded for the respondents along with knowledge regarding strokes. Results: A total of 1,118 participants completed the survey. About 903 respondents answered they were aware regarding strokes. But only 0.8% of the total respondents were truly aware regarding strokes. And 2.21% of the respondents were partially aware regarding AIS. Family members, education, and healthcare providers (HCP) played a major role as sources of stroke knowledge (27, 26, 15% respectively). Conclusion: Our study revealed that stroke awareness in the study population was severely lacking irrespective of educational level. Media (print, television, and radio) needs to play a big role along with HCPs in mass dissemination regarding AIS in the population.

  1. GBD 2019 Stroke Collaborators. Global, regional, and national burden of stroke and its risk factors, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol 2021;20(10): 795–820. DOI: 10.1016/S1474-4422(21)00252-0.
  2. Powers WJ, Rabinstein AA, Ackerson T, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2019;50(12):e344–e418. DOI: 10.1161/STR.0000000000000211.
  3. Khurana S, Gourie-Devi M, Sharma S, et al. Burden of stroke in India during 1960 to 2018: A systematic review and meta-analysis of community based surveys. Neurol India 2021;69(3):547–559. DOI: 10.4103/0028-3886.317240.
  4. Sug Yoon S, Heller RF, Levi C, et al. Knowledge of stroke risk factors, warning symptoms, and treatment among an Australian urban population. Stroke 2001;32(8):1926–1930. DOI: 10.1161/01.str.32.8.1926.
  5. Becker K, Fruin M, Gooding T, et al. Community-based education improves stroke knowledge. Cerebrovasc Dis 2001;11(1):34–43. DOI: 10.1159/000047609.
  6. Ramsden VR, Shuaib A, Reeder BA, et al. Risk factor awareness: A randomized telephone survey of public knowledge. Can J Public Health 1994;85(suppl 2):S57–S60. PMID: 7804953.
  7. Kim JS, Yoon SS. Perspectives of stroke in persons living in Seoul, South Korea. A survey of 1000 subjects. Stroke 1997;28(6):1165–1169. DOI: 10.1161/01.str.28.6.1165.
  8. Saengsuwan J, Suangpho P, Tiamkao S. Knowledge of stroke risk factors and warning signs in patients with recurrent stroke or recurrent transient ischaemic attack in Thailand. Neurol Res Int 2017;2017:8215726. DOI: 10.1155/2017/8215726.
  9. Nagendra CV, Kumar TSS, Bohra V, et al. Factors affecting the effective management of acute stroke: A prospective observational study. Indian J Crit Care Med 2018;22(3):138–143. DOI: 10.4103/ijccm.IJCCM_232_17.
  10. Gurav SK, Zirpe KG, Wadia RS, et al. Problems and limitations in thrombolysis of acute stroke patients at a tertiary care center. Indian J Crit Care Med 2015;19(5):265–269. DOI: 10.4103/0972-5229.156468.
  11. Pandian JD, Jaison A, Deepak SS, et al. Public awareness of warning symptoms, risk factors, and treatment of stroke in northwest India. Stroke 2005;36(3):644–648. DOI: 10.1161/01.STR.0000154876.08468.a0.
  12. Verma A, Sarda S, Jaiswal S, et al. Rapid thrombolysis protocol: Results from a before-and-after study. Indian J Crit Care Med 2022;26(5): 549–554. DOI: 10.5005/jp-journals-10071-24217.
  13. Sirisha S, Jala S, Vooturi S, et al. Awareness, recognition, and response to stroke among the general public-an observational study. J Neurosci Rural Pract 2021;12(4):704–710. DOI: 10.1055/s-0041-1735822.
  14. Kurmi S, Mathews E, Kodali PB, et al. Awareness of stroke warning symptoms, risk factors, and response to acute stroke in Biswanath District, Assam, India. J Stroke Med 2020;3(2):88–91. DOI: 10.1177/2516608520962349.
  15. Müller-Nordhorn J, Nolte CH, Rossnagel K, et al. Knowledge about risk factors for stroke: A population-based survey with 28,090 participants. Stroke 2006;37(4):946–950. DOI: 10.1161/01.STR.0000209332.96513.82.
  16. Bhat V, Gs T, Kasthuri A. Stroke awareness among elderly hypertensives in a rural area of Bangalore District, India. J Stroke Cerebrovasc Dis 2021;30(1):105467. DOI: 10.1016/j.jstrokecerebrovasdis.2020.105467.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.