The PRESTO study: awareness of stroke symptoms and time from onset to intervention
- PMID: 36190685
- DOI: 10.1007/s10072-022-06399-9
The PRESTO study: awareness of stroke symptoms and time from onset to intervention
Abstract
Timely access to medical assistance is the first crucial step to improving clinical outcomes of stroke patients. Many educational campaigns have been organized with the purpose of making people aware of what a stroke is and what is necessary to do after its clinical onset. The PRESTO campaign was organized in Genoa (Italy) to spread easy messages regarding the management of the acute phase of stroke. Educational material was disseminated to educate people to call the emergency medical services as soon as symptoms appear. Data collected were analyzed in three different phases of the campaign: before the beginning, during, and after the end. We enrolled 1,132 patients with ischemic stroke admitted to hospital within 24 hours of symptoms onset. Our data showed a mild reduction in onset-to-door time (24 minutes) during the months following the end of the campaign and a slight increase in number of patients who arrived at hospitals, in particular with milder symptoms and transient ischemic attack, as opposed to the same period before the campaign. Interestingly, in the months after the end of the campaign, we observed a slight reduction of the percentage of patients who accessed hospitals after 4.5 hours from symptoms onset. In conclusion, our results may suggest that an informative campaign can be successful in making people rapidly aware of stroke onset, with the consequent rapid access to hospitals. Considering the changing of way of access to information, we think that an extensive multimedia campaign should be evaluated in the next future.
Keywords: Educational campaign; Onset to door; PRESTO; Prehospital stroke management; Stroke; Stroke awareness.
© 2022. Fondazione Società Italiana di Neurologia.
References
-
- Johnson CO, Nguyen M, Roth GA et al (2019) Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurology 18:439–458. https://doi.org/10.1016/S1474-4422(19)30034-1 - DOI
-
- The GBD (2016) Lifetime Risk of Stroke Collaborators (2018) Global, regional, and country-specific lifetime risks of stroke, 1990 and 2016. N Engl J Med 379:2429–2437. https://doi.org/10.1056/NEJMoa1804492 - DOI
-
- Campbell BCV, De Silva DA, Macleod MR et al (2019) Ischaemic stroke. Nat Rev Dis Primers 5:70. https://doi.org/10.1038/s41572-019-0118-8 - DOI
-
- Wardlaw JM, Murray V, Berge E, del Zoppo GJ (2014) Thrombolysis for acute ischaemic stroke. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD000213.pub3 - DOI
-
- Wahlgren N, Ahmed N, Dávalos A et al (2007) Thrombolysis with alteplase for acute ischaemic stroke in the Safe Implementation of Thrombolysis in Stroke-Monitoring Study (SITS-MOST): an observational study. The Lancet 369:275–282. https://doi.org/10.1016/S0140-6736(07)60149-4 - DOI
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous