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Journal of the Korean Neurological Association 2013;31(1): 15-20.
뇌졸중홍보캠페인에 사용된 대표적인 다섯 가지 대표적 뇌졸중 증상의 타당도조사
김욱주, 고영채 a 박정현 b 반별님 c 한문구 c 조용진 d 배희준
울산대학교 의과대학 울산대학교병원 신경과, 을지대학교 의과대학 대전을지대학교 신경과 a , 동국대학교 의과대학 경주병원 신 경과 b , 분당서울대학교병원 뇌졸중센터 신경과 c , 인제대학교 의과대학 일산백병원 신경과 d
Validation of Five Cardinal Symptoms Used for Stroke Awareness Campaign
Wook-Joo Kim
Department of Neurology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea Department of Neurology a , Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea Department of Neurology b , Dongguk University Gyeongju Hospital, Dongguk University College of Medicine, Gyeongju, Korea Department of Neurology c , Stroke Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Bundang, Korea Department of Neurology d , Inje University Ilsan Paik Hospital, Inje University College of Medicine, Ilsan, Korea
Background: For the improvement in stroke care, we have campaigned for stroke warning signs and its symptoms. However, few reports on the validation of symptom selection in the campaign have been published till now.
Methods: Based on the prospective stroke registry, patients were identified, who were hospitalized with stroke within 7 days from the stroke onset and had relevant lesions on their brain images. One presenting symptom was selected in each patient through review of electronic medical records by an investigator, and those collected symptoms were classified into 5 symptom categories or the unclassified. Those 5 symptom categories were developed and are being used in the stroke awareness campaign in 2009 by the Korean Stroke Society (KSS).
Results: A total of 3027 patients (age, 66.57±12.6 years; male, 58.2%) were enrolled in our study. The rate of frequency of each categorized symptom was 54.9% for unilateral numbness or weakness, 27.5% for confusion or speech disturbance, 2.8% for visual disturbance, 10.5% for dizziness or gait disturbance, 2.3% for severe headache, and 2.0% for the unclassified. Ninety-eight percent of stroke patients were classified into one of the 5 symptom categories. Confusion or speech disturbance was associated with the shorter pre-hospital delay, whereas dizziness or gait disturbance with the longer delay. Dizziness was the most frequent symptom in TIA, and so was severe headache in hemorrhagic stroke.
Conclusions: Our study shows that the 5 stroke warning symptoms of the KSS campaign represent well the presenting symptoms of Korean patients with acute stroke or TIA. Campaign, Presenting symptom, Stroke awareness
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