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The PRESTO study: awareness of stroke symptoms and time from onset to intervention.

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Title: The PRESTO study: awareness of stroke symptoms and time from onset to intervention.
Authors: Gandoglia, Ilaria (AUTHOR), Schirinzi, Erika (AUTHOR), Hamedani, Mehrnaz (AUTHOR), Reale, Nicoletta (AUTHOR), Siri, Giacomo (AUTHOR), Cecconi, Rosamaria (AUTHOR), Gandolfo, Carlo (AUTHOR), Balestrino, Maurizio (AUTHOR), Di Poggio, Monica Bandettini (AUTHOR), Bandini, Fabio (AUTHOR), Filippi, Laura (AUTHOR), Poeta, Maria Gabriella (AUTHOR), Strada, Laura (AUTHOR), Serrati, Carlo (AUTHOR), Finocchi, Cinzia (AUTHOR), Malfatto, Laura (AUTHOR), Castellan, Lucio (AUTHOR), Schenone, Angelo (AUTHOR), Del Sette, Massimo (AUTHOR)
Source: Neurological Sciences. Jan2023, Vol. 44 Issue 1, p229-236. 8p. 1 Diagram, 2 Charts, 1 Graph.
Subjects: Transient ischemic attack, Ischemic stroke, Emergency medical services, Stroke, Medical assistance, Stroke patients
Geographic Terms: Genoa (Italy)
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. [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The PRESTO study: awareness of stroke symptoms and time from onset to intervention.
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  Data: <searchLink fieldCode="AR" term="%22Gandoglia%2C+Ilaria%22">Gandoglia, Ilaria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schirinzi%2C+Erika%22">Schirinzi, Erika</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hamedani%2C+Mehrnaz%22">Hamedani, Mehrnaz</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Reale%2C+Nicoletta%22">Reale, Nicoletta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Siri%2C+Giacomo%22">Siri, Giacomo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cecconi%2C+Rosamaria%22">Cecconi, Rosamaria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gandolfo%2C+Carlo%22">Gandolfo, Carlo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Balestrino%2C+Maurizio%22">Balestrino, Maurizio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Di+Poggio%2C+Monica+Bandettini%22">Di Poggio, Monica Bandettini</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bandini%2C+Fabio%22">Bandini, Fabio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Filippi%2C+Laura%22">Filippi, Laura</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Poeta%2C+Maria+Gabriella%22">Poeta, Maria Gabriella</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Strada%2C+Laura%22">Strada, Laura</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Serrati%2C+Carlo%22">Serrati, Carlo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Finocchi%2C+Cinzia%22">Finocchi, Cinzia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Malfatto%2C+Laura%22">Malfatto, Laura</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Castellan%2C+Lucio%22">Castellan, Lucio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schenone%2C+Angelo%22">Schenone, Angelo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Del+Sette%2C+Massimo%22">Del Sette, Massimo</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Jan2023, Vol. 44 Issue 1, p229-236. 8p. 1 Diagram, 2 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Transient+ischemic+attack%22">Transient ischemic attack</searchLink><br /><searchLink fieldCode="DE" term="%22Ischemic+stroke%22">Ischemic stroke</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+medical+services%22">Emergency medical services</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke%22">Stroke</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+assistance%22">Medical assistance</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke+patients%22">Stroke patients</searchLink>
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10072-022-06399-9
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        Text: English
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