Abstract T P325: Parental Knowledge in Childhood Arterial Ischemic Stroke
Objective: Recognizing stroke symptoms and taking appropriate action are vital first steps in stroke care in adults but data are lacking in children. Our objective was to describe stroke knowledge and care seeking behaviour in parents of children presenting to the Emergency Room with stroke.
Methods: Structured parental interview to determine stroke symptom knowledge. Event driven process modeling and value focused engineering were used to select questions with the fundamental objectives being correct recognition of stroke symptoms and correct action (call 911). The Stroke Action Test (STAT), a validated instrument with stroke scenarios was used to determine care seeking behaviour; 21 items are stroke specific. The correct response is to call 911.
Results: A total of 34 parents were interviewed. The most common unprompted stroke symptoms given were limb (94%) or face weakness (78%) and speech disturbance (66%). 14 (41%) of parents remembered at least one item of the Face Arm Speech Time (FAST) acronym. 8 (24%) could remember all 4 items. Prompted recognition of AHA SUDDENS symptoms (yes I would think of stroke) included face (88%) or limb (77%) numbness/weakness, confusion/speech problems (77%), trouble walking/incoordination (47%), visual symptoms (35%) and headache (38%). 26 (77%) of parents knew of stroke treatments; 37% were aware of anti-thrombotic treatments but only 12% were aware of thrombolysis. Median STAT score was 10 (IQR 6-14), meaning parents called 911 for 48% of stroke scenarios. Questions with >1 symptom (focal weakness and speech disturbance) had highest correct responses (84%) and visual disturbance or dizziness had the lowest correct responses (12.5%).
Conclusions: Parental knowledge varies across stroke symptoms and care seeking behaviour is suboptimal. Few parents are aware of thrombolysis. Initiatives to link knowledge to appropriate action are urgently needed if children are to receive the benefits of hyper-acute therapies.
Author Disclosures: B. Stojanovski: Research Grant; Modest; Murdoch Childrens Research Institute, Melbourne Australia. G.A. Donnan: None. P.T. Monagle: None. L. Churilov: None. I. Mosley: None. M.T. Mackay: None.
- © 2014 by American Heart Association, Inc.