Abstract
In this study, we suggest that there is a substantial knowing-doing gap in acute stroke, as increased stroke knowledge was not associated with earlier hospital admission.
Highlights
IntroductionTime plays an important role in acute stroke management, and several attempts have been made in order to reduce the time from symptom onset to hospital arrival, often referred to as prehospital delay (Teuschl & Brainin, 2010)
More than two decades after the first study on intravenous throm‐ bolysis in acute ischemic stroke was published (The National Institute of Neurological Disorders and Stroke rt‐PA Stroke Study Group, 1995); the utilization rates still are low (Bouckaert, Lemmens, & Thijs, 2009; Teuschl & Brainin, 2010)
We aimed to assess if knowledge of stroke symptoms and risk factors was associated with early hospital admis‐ sion, that is, to determine if a knowing‐doing gap exists in acute stroke
Summary
Time plays an important role in acute stroke management, and several attempts have been made in order to reduce the time from symptom onset to hospital arrival, often referred to as prehospital delay (Teuschl & Brainin, 2010). Important obstacles to minimize the prehospital delay are insufficient stroke knowledge, not attributing symptoms to stroke, and, even more importantly, not being able to translate knowledge into action (Jones, Jenkinson, Leathley, & Watkins, 2010). Factors influencing decisions to seek immediate hospitalization seem to be complex (Mandelzweig, Goldbourt, Boyko, & Tanne, 2006). Few studies have compared stroke knowledge directly with pre‐ hospital delay. We aimed to assess if knowledge of stroke symptoms and risk factors was associated with early hospital admis‐ sion, that is, to determine if a knowing‐doing gap exists in acute stroke
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