Literature DB >> 22764171

The face arm speech test: does it encourage rapid recognition of important stroke warning symptoms?

Thompson G Robinson1, Ann Reid, Victoria Joanna Haunton, Andrew Wilson, A Ross Naylor.   

Abstract

OBJECTIVES: To assess public knowledge of stroke and transient ischaemic attack symptoms, and awareness of the content of a recent national health campaign.
DESIGN: Interviewer-administered questionnaire.
SETTING: Leicester, UK. PARTICIPANTS: 1300 members of a mixed urban/rural, multiethnic population that was sampled in public areas, places of work and schools. MAIN OUTCOME MEASURES: Knowledge of the terms 'stroke', 'stroke risk factors' and the 'FAST campaign'. Awareness of stroke symptoms, and ability to distinguish from non-stroke symptoms.
RESULTS: 70% of the public surveyed were aware of the FAST campaign, with highest penetration in the female, older and white population. Overall, high levels of awareness of FAST symptoms (facial weakness 89%, arm weakness 83%, speech problems 91%) as warning signs of stroke were observed, though significantly lower levels were reported in the black and minority ethnic population. However, poor recognition of other important signs, including leg weakness (57%) and visual loss (44%) were seen, and significantly more men were likely to report non-specific symptoms as being associated with stroke.
CONCLUSIONS: The survey has confirmed the effectiveness of the recent FAST campaign in raising public awareness of stroke and stroke warning signs, though poorest penetration was seen in the black and minority ethnic population. However, important stroke symptoms, including leg weakness and visual loss, were poorly recognised. This may lead to delays in presentation, specialist assessment and secondary prevention, and such stroke warning signs should be included in future public health campaigns.

Entities:  

Keywords:  FAST; aged; neurology; nursing home care; primary care; stroke; symptom awareness; thrombolysis; transient ischaemic attack

Mesh:

Year:  2012        PMID: 22764171     DOI: 10.1136/emermed-2012-201471

Source DB:  PubMed          Journal:  Emerg Med J        ISSN: 1472-0205            Impact factor:   2.740


  17 in total

1.  Prehospital stroke scales as screening tools for early identification of stroke and transient ischemic attack.

Authors:  Zhivko Zhelev; Greg Walker; Nicholas Henschke; Jonathan Fridhandler; Samuel Yip
Journal:  Cochrane Database Syst Rev       Date:  2019-04-09

2.  Assessing gender identity differences in cardiovascular disease in US adults: an analysis of data from the 2014-2017 BRFSS.

Authors:  Billy A Caceres; Kasey B Jackman; Donald Edmondson; Walter O Bockting
Journal:  J Behav Med       Date:  2019-09-26

3.  Improving Community Stroke Preparedness in the HHS (Hip-Hop Stroke) Randomized Clinical Trial.

Authors:  Olajide Williams; Ellyn Leighton-Herrmann Quinn; Jeanne Teresi; Joseph P Eimicke; Jian Kong; Gbenga Ogedegbe; James Noble
Journal:  Stroke       Date:  2018-04       Impact factor: 7.914

4.  Analysis of Time to the Hospital and Ambulance Use Following a Stroke Community Education Intervention in China.

Authors:  Jing Yuan; Minghui Li; Yang Liu; Xiaomo Xiong; Zhengbao Zhu; Fangyu Liu; Yong Wang; Wei Hu; Z Kevin Lu; Renyu Liu; Jing Zhao
Journal:  JAMA Netw Open       Date:  2022-05-02

5.  Effect of educational television commercial on pre-hospital delay in patients with ischemic stroke.

Authors:  Haruo Nishijima; Tomoya Kon; Tatsuya Ueno; Rie Haga; Keishi Yamazaki; Kei Yagihashi; Yukihisa Funamizu; Akira Arai; Chieko Suzuki; Jin-Ichi Nunomura; Masayuki Baba; Masahiko Tomiyama
Journal:  Neurol Sci       Date:  2015-08-26       Impact factor: 3.307

6.  Sexual Identity and Racial/Ethnic Differences in Awareness of Heart Attack and Stroke Symptoms: Findings From the National Health Interview Survey.

Authors:  Billy A Caceres; Meghan Reading Turchioe; Anthony Pho; Theresa A Koleck; Ruth Masterson Creber; Suzanne B Bakken
Journal:  Am J Health Promot       Date:  2020-06-19

7.  Patients' responses to transient ischaemic attack symptoms: a cross-sectional questionnaire study in Australian general practices.

Authors:  Parker Magin; Janet Dunbabin; Susan Goode; Jose M Valderas; Christopher Levi; Mario D'Souza; Melanie Marshall; Daniel Barker; Daniel Lasserson
Journal:  Br J Gen Pract       Date:  2015-01       Impact factor: 5.386

8.  Speech disturbance at stroke onset is correlated with stroke early mortality.

Authors:  Kazuo Shigematsu; Hiromi Nakano; Yoshiyuki Watanabe; Tatsuyuki Sekimoto; Kouichiro Shimizu; Akihiko Nishizawa; Atsushi Okumura; Masahiro Makino
Journal:  BMC Neurol       Date:  2013-07-15       Impact factor: 2.474

9.  FASTer diagnosis: Time to BEAT heart failure.

Authors:  Clare J Taylor; Nick Hartshorne-Evans; Duwarakan Satchithananda; Fd Richard Hobbs
Journal:  BJGP Open       Date:  2021-06-30

10.  The impact of the UK 'Act FAST' stroke awareness campaign: content analysis of patients, witness and primary care clinicians' perceptions.

Authors:  Stephan U Dombrowski; Joan E Mackintosh; Falko F Sniehotta; Vera Araujo-Soares; Helen Rodgers; Richard G Thomson; Madeleine J Murtagh; Gary A Ford; Martin P Eccles; Martin White
Journal:  BMC Public Health       Date:  2013-10-02       Impact factor: 3.295

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