WCN: Stroke Warning Signs Not Well Recognized In United States Stroke Belt
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WCN: Stroke Warning Signs Not Well Recognized In United States Stroke Belt

By Richard Robinson
Special to DG News

LONDON, ENGLAND -- June 19, 2001 -- Three out of five residents in the heart of the United States’ Stroke Belt can’t name even one warning sign of stroke, according to a study presented here today at the 17th World Congress of Neurology.

Professional readiness for stroke emergencies was better, but still variable, the study found.

The rate of stroke in the US is highest in the so-called Stroke Belt, which runs through Atlanta, Georgia, the largest city in the region. To find out how much residents of Atlanta’s four counties knew about stroke warning signs, Keith Sanders and colleagues of the Stroke Center of Saint Joseph’s Hospital conducted the Atlanta Stroke Survey, a random telephone survey of 400 residents of the region.

Participants were asked whether they knew any of the signs and symptoms of stroke. While 58 percent thought they could recognize signs of stroke, only 39 percent could name even one warning sign. Only 12 percent could identify two warning signs, 5 percent could name three, and 0.1 percent-one person-could name four. None could name all five signs.

When they were read a list of signs, many more answered correctly, but more than half thought arm and chest pain were signs of stroke.

A parallel study of regional medical service providers indicated that while 13 of 24 hospitals met criteria to be "stroke ready," most did not have stroke protocols in place or did not keep data on strokes. Only one of 20 county emergency medical services teams had stroke protocols in place, and none could identify stroke-ready hospitals.

"Our data show that improved public awareness and community preparedness are needed to reduce the impact of stroke in heart of the Stroke Belt," Dr. Sanders said.

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