The Stroke Riskometer App as an educational campaign in outpatient clinics and its association with knowledge of stroke Warning Signs

Authors

  • Diego Alejandro Ortega-Moreno Sixth-year Medical Student. Universidad Autónoma de Nuevo León, Monterrey, México.
  • Fernando Tienda-López Fourth-year Medical Student. Universidad Autónoma de Nuevo León, Monterrey, México.
  • David Loaiza-Pérez Fourth-year Medical Student. Universidad Autónoma de Nuevo León, Monterrey, México.
  • Fernando Chávez-Ríos Sixth-year Medical Student. Universidad Autónoma de Nuevo León, Monterrey, México.
  • Samantha Salinas-Rodríguez Third-year Medical Student. Universidad Autónoma de Nuevo León, Monterrey, México.
  • Egla Samantha Sánchez-Peralta Sixth-year Medical Student. Universidad Autónoma de Nuevo León, Monterrey, México.
  • Ana Laura de León-Pérez Sixth-year Medical Student. Universidad Autónoma de Nuevo León, Monterrey, México.
  • Diego Oyervides-Recio Fourth-year Medical Student. Universidad Autónoma de Nuevo León, Monterrey, México.
  • Arely Rodríguez-Salazar Third-year Medical Student. Universidad Autónoma de Nuevo León, Monterrey, México.
  • Emmanuel Navarrete Juárez Fifth-year Medical Student. Universidad Autónoma de Nuevo León, Monterrey, México.
  • Fernando Góngora-Rivera Neurologist, professor and level 2 researcher of the national system of researchers in Mexico. “Dr. José Eleuterio González” University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México.

DOI:

https://doi.org/10.5195/ijms.2023.2384

Keywords:

Stroke, Primary Prevention, Mobile Applications, Risk Factors

Abstract

BACKGROUND: Stroke is highly prevalent worldwide; however, the associated symptoms and risk factors are commonly unknown among the general population. No study has been carried out in the Mexican population about the risk of stroke and knowledge of warning signs.

AIM: Describe the knowledge of early signs of stroke and their association with the risk of cerebral infarction at 5 and 10 years using the American Stroke Association validated application "Stroke Riskometer."

METHODS: Observational, descriptive, cross-sectional study including adult outpatients from the Neurology department at "Dr. José Eleuterio González" University Hospital. Anthropometric measurements and vital signs were taken, and the "Stroke Riskometer" was used to calculate the stroke risk at 5 and 10 years. Early signs of stroke were assessed, with emphasis on the acronym "CAMALEON", a mnemonic that includes the three main early signs of Stroke in Spanish. Descriptive statistics were performed. For inferential statistics, Chi-Square test for categorical variables, Mann-Whitney U and Kruskal-Wallis for numerical variables, Spearman correlation for numerical and ordinal variables were conducted, considering significance at p<0.05, using SPSSv25 for statistical analysis.

RESULTS: Total of 200 individuals were included; 142 (71%) were women; with an average age of 54.72 (±14.63) years. The most prevalent stroke risk factors were sedentary lifestyle (54%), high blood pressure (41%), and diabetes mellitus (32%). 72.5% were unaware of any early signs of stroke, 10.5% knew 1 sign, 6% knew 2 signs, and 11% knew 3 signs. "Facial Weakness" was the most recognized sign (19.5%), followed by "Arm Weakness" (16%) and "Speech Disturbance" (15.5%). A weak correlation was found between knowledge of early signs and 5 or 10-year risk (r=0.14, p=0.048; r=0.138, p=0.051, respectively). There is a significant difference between knowledge of early signs and educational level (p=0.004), with higher knowledge in higher education. A difference was observed between male and female genders and 5 and 10-year risk (Median 5.3 vs 3.6, p=0.007 and Median 11 vs 5.4, p=<0.001, respectively). Additionally, a significant difference was found between current occupation and 5 and 10-year stroke risk (p=<0.001). Post-hoc analysis and percentage risk analysis found significant differences between students and other occupations. There is an increase in stroke risk as an individual's life decade advances.

CONCLUSION: Awareness of stroke warning signs is low, remaining an unfinished goal despite educational campaigns in Mexico. A national, massive, and ongoing campaign for the population is necessary.

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References

Cantú-Brito C, Ruiz-Sandoval J, Chiquete E, et al. Factores de riesgo, causas y pronóstico de los tipos de enfermedad vascular cerebral en México: Estudio RENAMEVASC. Revista Mexicana de Neurociencias . 2011;12(5):224-234.

Jones SP, Jenkinson AJ, Leathley MJ, Watkins, LC. Stroke Knowledge and awareness: an integrative review of the evidence. Age and Ageing. 2010;39(1):11-22.

Parmar P, Krishnamurthi R, Arfan-Ikram M, et al. The Stroke RiskometerTM App: Validation of a data collection tool and stroke risk predictor. International Journal of Stroke. 2015;10(2):231-44.

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Published

2023-12-19

How to Cite

Ortega-Moreno, D. A., Tienda-López, F., Loaiza-Pérez, D., Chávez-Ríos, F., Salinas-Rodríguez, S., Sánchez-Peralta, E. S., de León-Pérez, A. L., Oyervides-Recio, D., Rodríguez-Salazar, A., Navarrete Juárez, E., & Góngora-Rivera, F. (2023). The Stroke Riskometer App as an educational campaign in outpatient clinics and its association with knowledge of stroke Warning Signs. International Journal of Medical Students, 11, S54. https://doi.org/10.5195/ijms.2023.2384

Issue

Vol 11. (2023): Supplement 1

Section

Abstracts of the WCMSR

Categories

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Copyright (c) 2023 Diego Alejandro Ortega-Moreno, Fernando Tienda-López, David Loaiza-Pérez, Fernando Chávez-Ríos, Samantha Salinas-Rodríguez, Egla Samantha Sánchez-Peralta, Ana Laura de León-Pérez, Diego Oyervides-Recio, Arely Rodríguez-Salazar, Emmanuel Navarrete Juárez, Fernando Góngora-Rivera

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