22. European Stroke Conference In hours thrombolysis Out of hours thromboly-sis Mean age of patient 69 years 65 years Period 1 DTKT 61 min 66 min Period 2 DTKT 60 min 60 min % thrombolysis with DTKT <60 minutes, pe-riod 656 © 2013 S. Karger AG, Basel Scientific Programme 2 76% 64% Table 1 – immediate management data In hours thrombolysis Out of hours throm-bolysis % overall mortality rate in immediate post-lysis period 12% (8/66) 11% (7/63) Mean age of deceased patients 81 years 68 years Haemorrhagic transfor-mation on follow-up CT for deceased patients 1/8 (13%) 2/7 (29%) Table 2 – post-thrombolysis mortality data 589 Acute stroke: emergency management, stroke units and complications Impact of the Swedish National Stroke Campaign on Stroke Awareness and Intention to Call 112 for Stroke Symptom A. Nordanstig1, K. Jood2, L. Rosengren3 On behalf of the Swedish National Stroke Campaign Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothen-burg, Gothenburg, SWEDEN1, Institute of Neuroscience and Physiology, The Sahlgrenska Acad-emy, University of Gothenburg, Gothenburg, SWEDEN2, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, SWEDEN3 Background: Time delay from stroke onset to arrival in hospital is a main obstacle for widespread use of thrombolysis. In order to increase community awareness of stroke and to decrease patient´s delay, a national public education campaign started in Sweden 9 Oct. 2011 that will continue un-til the end of 2013. Here we report the results of an interim analysis of the impact on community awareness of stroke symptoms and the need to call 112 (emergency medical services) before the campaign and 3 months after the latest campaign period. Methods: The campaign has so far included nationwide television and newspaper ads, a website, banners, and target information to worksites. A Swedish equivalent to the FAST test (F for face dropping, A for arm weakness, S for speech slurred, and T for time to call 9-1-1), “AKUT”, was used in the campaign material. Telephone surveys in representative population samples were con-ducted before the campaign (1500 surveys) and 3 months after the latest campaign period (1538 sur-veys). The main outcome variables used to determine campaign effectiveness were awareness of the AKUT (FAST) test and change in intention to call 112. Results: At follow-up, 44% had heard about the AKUT test compared with 15% at baseline (p< .0001). Between baseline and follow-up, intention to call 112 when experiencing or observing stroke symptoms increased from 47% to 66% (p<.0001). In both surveys the intention to call 112 and knowledge about the AKUT test were significantly higher among women, elderly, and those with higher level of education. At follow-up there was a significant increase in the proportion of respond-ers indicating intention to call 112 and knowledge about the AKUT test in all groups. There was no difference regarding the penetration of the campaign among sex, age or education. Conclusion: This nationwide campaign effectively increased knowledge about the AKUT (FAST) test and intention to call 112 when experiencing or observing stroke symptoms.
Karger_ESC London_2013
To see the actual publication please follow the link above