Evaluation of the Swedish National Stroke Campaign : A population-based time-series study
(2019) In International Journal of Stroke 14(9). p.862-870- Abstract
Background: Time delay from stroke onset to hospital arrival is an important obstacle to recanalization therapy. To increase knowledge about stroke symptoms and potentially reduce delayed hospital arrival, a 27-month national public information campaign was conducted in Sweden. Aim: To assess the effects of a national stroke campaign in Sweden. Methods: This nationwide study included 97,840 patients with acute stroke, admitted to hospital and registered in the Swedish Stroke Register from 1 October 2010 to 31 December 2014 (one year before the campaign started to one year after the campaign ended). End points were (1) proportion of patients arriving at hospital within 3 h of stroke onset and (2) the proportion < 80 years of age... (More)
Background: Time delay from stroke onset to hospital arrival is an important obstacle to recanalization therapy. To increase knowledge about stroke symptoms and potentially reduce delayed hospital arrival, a 27-month national public information campaign was conducted in Sweden. Aim: To assess the effects of a national stroke campaign in Sweden. Methods: This nationwide study included 97,840 patients with acute stroke, admitted to hospital and registered in the Swedish Stroke Register from 1 October 2010 to 31 December 2014 (one year before the campaign started to one year after the campaign ended). End points were (1) proportion of patients arriving at hospital within 3 h of stroke onset and (2) the proportion < 80 years of age receiving recanalization therapy. Results: During the campaign, both the proportion of patients arriving at hospital within 3 h (p < 0.05) and the proportion receiving recanalization therapy (p < 0.001) increased. These proportions remained stable the year after the campaign, and no significant improvements with respect to the two end points were observed during the year preceding the campaign. In a multivariable logistic regression model comparing the last year of the campaign with the year preceding the campaign, the odds ratio of arriving at hospital within 3 h was 1.05 (95% confidence interval (CI): 1.00–1.09) and that of receiving recanalization was 1.34 (95% CI: 1.24–1.46). Conclusion: The Swedish National Stroke Campaign was associated with a sustained increase in the proportion of patients receiving recanalization therapy and a small but significant improvement in the proportion arriving at hospital within 3 h.
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- author
- Nordanstig, Annika ; Palaszewski, Bo ; Asplund, Kjell ; Norrving, Bo LU ; Wahlgren, Nils ; Wester, Per ; Jood, Katarina and Rosengren, Lars
- organization
- publishing date
- 2019-04-10
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- campaign, public education, Stroke
- in
- International Journal of Stroke
- volume
- 14
- issue
- 9
- pages
- 862 - 870
- publisher
- Wiley-Blackwell
- external identifiers
-
- scopus:85064554389
- pmid:30971191
- ISSN
- 1747-4930
- DOI
- 10.1177/1747493019840939
- language
- English
- LU publication?
- yes
- id
- e5da2c22-9baf-4507-9f87-52f96d578ee1
- date added to LUP
- 2019-05-07 13:18:40
- date last changed
- 2024-04-16 04:30:04
@article{e5da2c22-9baf-4507-9f87-52f96d578ee1, abstract = {{<p>Background: Time delay from stroke onset to hospital arrival is an important obstacle to recanalization therapy. To increase knowledge about stroke symptoms and potentially reduce delayed hospital arrival, a 27-month national public information campaign was conducted in Sweden. Aim: To assess the effects of a national stroke campaign in Sweden. Methods: This nationwide study included 97,840 patients with acute stroke, admitted to hospital and registered in the Swedish Stroke Register from 1 October 2010 to 31 December 2014 (one year before the campaign started to one year after the campaign ended). End points were (1) proportion of patients arriving at hospital within 3 h of stroke onset and (2) the proportion < 80 years of age receiving recanalization therapy. Results: During the campaign, both the proportion of patients arriving at hospital within 3 h (p < 0.05) and the proportion receiving recanalization therapy (p < 0.001) increased. These proportions remained stable the year after the campaign, and no significant improvements with respect to the two end points were observed during the year preceding the campaign. In a multivariable logistic regression model comparing the last year of the campaign with the year preceding the campaign, the odds ratio of arriving at hospital within 3 h was 1.05 (95% confidence interval (CI): 1.00–1.09) and that of receiving recanalization was 1.34 (95% CI: 1.24–1.46). Conclusion: The Swedish National Stroke Campaign was associated with a sustained increase in the proportion of patients receiving recanalization therapy and a small but significant improvement in the proportion arriving at hospital within 3 h.</p>}}, author = {{Nordanstig, Annika and Palaszewski, Bo and Asplund, Kjell and Norrving, Bo and Wahlgren, Nils and Wester, Per and Jood, Katarina and Rosengren, Lars}}, issn = {{1747-4930}}, keywords = {{campaign; public education; Stroke}}, language = {{eng}}, month = {{04}}, number = {{9}}, pages = {{862--870}}, publisher = {{Wiley-Blackwell}}, series = {{International Journal of Stroke}}, title = {{Evaluation of the Swedish National Stroke Campaign : A population-based time-series study}}, url = {{http://dx.doi.org/10.1177/1747493019840939}}, doi = {{10.1177/1747493019840939}}, volume = {{14}}, year = {{2019}}, }