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Evaluation of the Swedish National Stroke Campaign : A population-based time-series study

Nordanstig, Annika ; Palaszewski, Bo ; Asplund, Kjell ; Norrving, Bo LU ; Wahlgren, Nils ; Wester, Per ; Jood, Katarina and Rosengren, Lars (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
; ; ; ; ; ; and
organization
publishing date
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 &lt; 80 years of age receiving recanalization therapy. Results: During the campaign, both the proportion of patients arriving at hospital within 3 h (p &lt; 0.05) and the proportion receiving recanalization therapy (p &lt; 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}},
}