Cardiovascular surgery experience does not significantly improve patients' response to stroke

Brain and Behavior

the FAST‐RIGHT Investigators and Coordinators¹  Guangliang Shan²  Chengdong Yu²  Li‐Ying Cui³  Shengde Li³  Bin Peng³  Chunpeng Gao⁴  Craig Anderson⁵  Longde Wang⁶ 

[1] ;Department of Epidemiology and Statistics Institute of Basic Medical Sciences Chinese Academy of Medical Sciences Beijing China;Department of Neurology Peking Union Medical College Hospital Peking Union Medical College and Chinese Academy of Medical Sciences Beijing China;Disease Control and Prevention Office Dalian Municipal Central Hospital Liaoning China;Neurological and Mental Health Division The George Institute for Global Health Faculty of Medicine University of New South Wales Sydney Australia;Stroke Control Project Committee The National Health Commission Beijing China;

关键词: awareness;    cardiovascular surgical procedures;    emergency medical services;    health education;    patient compliance;    stroke;   

DOI  :  10.1002/brb3.1405

来源: DOAJ

【 摘 要 】

Abstract Objectives Patients with a history of cardiovascular surgery are at risk of stroke, and immediately calling emergency medical services (EMS) after stroke onset is crucial to receiving effective reperfusion therapy. We aimed to determine the effect of a history of cardiovascular surgery on patients' ability to recognize stroke and intent to call EMS. Methods We performed a cross‐sectional community‐based study from January 2017 to May 2017. A total population of 186,167 individuals, recruited from 69 administrative areas across China, was analyzed. Different multivariable logistic regression models were performed to identify the associations between cardiovascular surgical history and stroke recognition or intent to call EMS, respectively. Results 0.1% of the total population had a history of cardiovascular surgery. In the surgery group, the estimated stroke recognition rate (SRR) and correct action rate (CAR) were 84.9% and 74.7%, respectively. The prevalence of cardiovascular risk factors was significantly higher in the surgery group. Cardiovascular surgical history was not associated with recognition of stroke across different models. The surgery group was more likely to call EMS, but the difference was not significant after full adjustment (OR: 1.40, 95% CI: 0.99–1.98, p = .0572). Conclusions Cardiovascular surgical history does not influence patients' likelihood of calling EMS more often at stroke onset. Patients receiving cardiovascular surgeries should be counseled regarding stroke recognition, proper response to stroke, and the importance of controlling risk factors.

【 授权许可】

Unknown