U.K. campaign hasn't aided patient presentations for TIA, minor CVA

July 5, 2018

(HealthDay)—The Face, Arm, Speech, Time (FAST) public education campaign in the United Kingdom has not improved the response to transient ischemic attack (TIA) and minor stroke, according to a study published online July 2 in JAMA Neurology.

Frank J. Wolters, M.D., from the University of Oxford in the United Kingdom, and colleagues conducted a prospective population-based study of all patients with TIA or who sought medical attention between April 1, 2002, and March 31, 2014, registered at nine general practices.

The researchers found that of 2,243 patients with first TIA or stroke, 73.8 percent had a minor stroke or TIA. After the FAST campaign, patients with major stroke more often sought medical attention within three hours (odds ratio, 2.56; 95 percent confidence interval, 1.11 to 5.9). There was no improvement in use of emergency medical services (odds ratio, 0.79; 95 percent confidence interval, 0.5 to 1.23) or in time to first seeking within 24 hours (odds ratio, 0.75; 95 percent confidence interval, 0.48 to 1.19) for TIA or minor stroke. There was a correlation for patient perception of symptoms after TIA and minor stroke with more urgent behaviors; however, after the FAST campaign, correct perception declined from 37.3 to 27.6 percent (odds ratio, 0.64; 95 percent interval, 0.51 to 0.8).

"This study suggests that in contrast to major stroke, extensive FAST-based public education has not improved the response to TIA and in the United Kingdom," the authors write.

One author disclosed financial ties to the pharmaceutical industry.

Explore further: Previous stroke tied to higher risks in aortic valve replacement

More information: Abstract/Full Text

Related Stories

Previous stroke tied to higher risks in aortic valve replacement

April 27, 2018
(HealthDay)—For patients undergoing surgical aortic valve replacement (SAVR), previous stroke is a risk factor for recurrent ischemic stroke and major adverse cardiovascular events (MACE), according to a study published ...

Half of CV events occur from two to five years post-TIA, -stroke

June 28, 2018
(HealthDay)—For patients who experienced a transient ischemic attack (TIA) or minor stroke, the rate of a composite of stroke, acute coronary syndrome, or death from cardiovascular causes is 12.9 percent at five years, ...

Clotting time in transfemoral PCI linked to bleeding risk

June 27, 2018
(HealthDay)—Higher maximal activated clotting time (ACT) is associated with a greater risk of major bleeding after transfemoral (TF) percutaneous coronary intervention (PCI) than after transradial (TR) PCI, according to ...

Greater benefit for pioglitazone in high-risk patients post stroke

September 19, 2017
(HealthDay)—For patients after an ischemic stroke or transient ischemic attack, pioglitazone is associated with greater benefit for those at higher risk for stroke or myocardial infarction (MI), according to a study published ...

Sickle cell trait not linked to stroke in African-Americans

April 27, 2018
(HealthDay)—For African-Americans, sickle cell trait (SCT) seems not to be associated with the incidence of ischemic stroke, according to a meta-analysis published online April 23 in JAMA Neurology.

Direct oral anticoagulants plus antiplatelets effective in ACS

February 9, 2018
(HealthDay)—For patients with acute coronary syndrome (ACS), treatment with direct oral anticoagulants (DOACs) in addition to antiplatelet therapy (APT) appears efficacious for those with ST-segment elevation myocardial ...

Recommended for you

Motor learning for precise motor execution

September 26, 2018
Scientists at Tokyo Metropolitan Institute of Medical Science, RIKEN, National Center of Neurology and Psychiatry, Nozomi Hospital and Tokyo Medical and Dental University have identified acquisition of two types of internal ...

Diversity in the brain—how millions of neurons become unique

September 26, 2018
How is it possible that so many different and highly specific neuron types arise in the brain? A mathematical model developed by researchers from the University of Basel's Biozentrum demonstrates that different variants of ...

Sensitive babies become altruistic toddlers

September 25, 2018
Our responsiveness to seeing others in distress accounts for variability in helping behavior from early in development, according to a study published September 25 in the open-access journal PLOS Biology by Tobias Grossmann ...

Immune cell pruning of dopamine receptors may modulate behavioral changes in adolescence

September 25, 2018
A study by MassGeneral Hospital for Children (MGHfC) researchers finds that the immune cells of the brain called microglia play a crucial role in brain development during adolescence, but that role is different in males and ...

Scientists reverse a sensory impairment in mice with autism

September 25, 2018
Using a genetic technique that allows certain neurons in the brain to be switched on or off, UCLA scientists reversed a sensory impairment in mice with symptoms of autism, enabling them to learn a sensory task as quickly ...

Why it doesn't get dark when you blink

September 25, 2018
People blink every five seconds. During this brief moment, no light falls on the retina, yet people continue to observe a stable picture of the environment with no intervals of darkness. Caspar Schwiedrzik and Sandrin Sudmann, ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.