Research Article| Volume 29, ISSUE 6, 104794, June 2020

Awareness about Stroke and Proper Actions to Be Taken; A room for Improvement


      Objective: To assess the awareness level about stroke's risk factors, warning signs, and proper actions to be taken. Method: A cross-sectional study of 600 adults was conducted using a validated questionnaire. Participants who were able to recognize at least 5 risk factors, 3 warning signs, and defined calling the ambulance in the first 3 hours of a suspected incident were considered knowledgeable. Results: The average age was (27.7 ± 11.5) with a female predominance. The majority (59.3%) were able to correctly define 5 or more risk factors, 68.3% of participants were able to identify at least 3 warning signs of stroke whilst 9.5% were not able to identify any warning signs. More than 70% of participants were willing to call ambulance within 3 hours while 86.2% preferred counseling doctors within 24 hours. Participants who intended to call the ambulance in the first 3 hours were significantly younger (76.1%), mainly students (45.4%) and were able to identify at least 5 risk factors (64.5%) and 3 warning signs of stroke (74.1%). Conclusions: Despite reporting a relatively higher level of public's knowledge regarding stroke, there is a persistent gap in their knowledge of stroke risk factors, and the importance of seeking emergency medical care.

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        • Menon B.
        • Swaroop J.J.
        • Deepika H.K.R.
        • et al.
        Poor awareness of stroke–a hospital-based study from South India: an urgent need for awareness programs.
        J Stroke Cerebrovasc Dis. 2014; 23: 2091-2098
        • Katan M.
        • Luft A.
        Global burden of stroke.
        Semin Neurol. 2018; 38: 208-211
        • Alaqeel A.
        • AlAmmari A.
        • AlSyefi N.
        • et al.
        Stroke awareness in the Saudi community living in Riyadh: prompt public health measures must be implemented.
        J Stroke Cerebrovasc Dis. 2014; 23: 500-504
        • Kamran S.
        • Bener A.B.
        • Deleu D.
        • et al.
        The level of awareness of stroke risk factors and symptoms in the Gulf Cooperation Council countries: Gulf Cooperation Council stroke awareness study.
        Neuroepidemiology. 2007; 29: 235-242
        • Hickey A.
        • Holly D.
        • McGee H.
        • et al.
        Knowledge of stroke risk factors and warning signs in Ireland: development and application of the Stroke Awareness Questionnaire (SAQ).
        Int J Stroke. 2012; 7: 298-306
      1. A. Gomes, M. Henrique, Jr., V.A. Schoeps, et al., Popular stroke knowledge in Brazil: a multicenter survey during “World Stroke Day”, eNeurologicalSci6 (2017) 63-67. doi: 10.1016/j.ensci.2016.12.002.

        • Oh G.J.
        • Moon J.
        • Lee Y.M.
        • et al.
        Public awareness of stroke and its predicting factors in Korea: a National Public Telephone Survey, 2012 and 2014.
        J Korean Med Sci. 2016; 31: 1703-1710
        • Hickey A.
        • O'Hanlon A.
        • McGee H.
        • et al.
        Stroke awareness in the general population: knowledge of stroke risk factors and warning signs in older adults.
        BMC Geriatr. 2009; 9: 35
        • Reeves M.J.
        • Rafferty A.P.
        • Aranha A.A.
        • et al.
        Changes in knowledge of stroke risk factors and warning signs among Michigan adults.
        Cerebrovasc Dis. 2008; 25: 385-391
      2. Saudi Stroke Organization. Available at: Accessed 23 November 2019.

        • Sug Yoon S.
        • Heller R.F.
        • Levi C.
        • et al.
        Knowledge of stroke risk factors, warning symptoms, and treatment among an Australian urban population.
        Stroke. 2001; 32: 1926-1930
        • Campos-Sousa R.N.
        • Soares V.Y.
        • Almeida K.J.
        • et al.
        Knowledge of stroke among a Brazilian urban population.
        Arquivos de neuro-psiquiatria. 2007; 65: 587-591
        • Das K.
        • Mondal G.P.
        • Dutta A.K.
        • et al.
        Awareness of warning symptoms and risk factors of stroke in the general population and in survivors stroke.
        J Clin Neurosci. 2007; 14: 12-16
        • Jones S.P.
        • Jenkinson A.J.
        • Leathley M.J.
        • et al.
        Stroke knowledge and awareness: an integrative review of the evidence.
        Age and ageing. 2010; 39: 11-22
        • Pontes-Neto O.M.
        • Silva G.S.
        • Feitosa M.R.
        • et al.
        Stroke awareness in Brazil: alarming results in a community-based study.
        Stroke. 2008; 39: 292-296
        • Pancioli A.M.
        • Broderick J.
        • Kothari R.
        • et al.
        Public perception of stroke warning signs and knowledge of potential risk factors.
        JAMA. 1998; 279: 1288-1292
        • Schneider A.T.
        • Pancioli A.M.
        • Khoury J.C.
        • et al.
        Trends in community knowledge of the warning signs and risk factors for stroke.
        JAMA. 2003; 289: 343-346
        • Nansseu J.R.
        • Atangana C.P.
        • Petnga S.N.
        • et al.
        Assessment of the general public's knowledge of stroke: a cross-sectional study in Yaounde, Cameroon.
        J Neurol Sci. 2017; 378: 123-129
      3. A. M, Women's Employment in Saudi Arabia A Major Challenge. Available at: Accessed 2 December 2019.

        • Meschia J.F.
        • Bushnell C.
        • Boden-Albala B.
        • et al.
        Guidelines for the primary prevention of stroke: a statement for healthcare professionals from the American Heart Association/American Stroke Association.
        Stroke. 2014; 45: 3754-3832
        • Blades L.L.
        • Oser C.S.
        • Dietrich D.W.
        • et al.
        Rural community knowledge of stroke warning signs and risk factors.
        Prev Chronic Disease. 2005; 2: A14
        • Nicol M.B.
        • Thrift A.G.
        Knowledge of risk factors and warning signs of stroke.
        Vasc Health Risk Manag. 2005; 1: 137-147
        • Banerjee T.K.
        • Roy M.K.
        • Bhoi K.K.
        Is stroke increasing in India–preventive measures that need to be implemented.
        J Indian Med Assoc. 2005; 103 (166 passim): 162, 164
        • Strong K.
        • Mathers C.
        • Bonita R.
        Preventing stroke: saving lives around the world.
        Lancet Neurol. 2007; 6: 182-187
        • Jin H.
        • Zhu S.
        • Wei J.W.
        • et al.
        Factors associated with prehospital delays in the presentation of acute stroke in urban China.
        Stroke. 2012; 43: 362-370
        • Kim Y.S.
        • Park S.S.
        • Bae H.J.
        • et al.
        Public awareness of stroke in Korea: a population-based national survey.
        Stroke. 2012; 43: 1146-1149
        • Fogle C.C.
        • Oser C.S.
        • McNamara M.J.
        • et al.
        Impact of media on community awareness of stroke warning signs: a comparison study.
        J Stroke Cerebrovasc Dis. 2010; 19: 370-375