SynthesisBMC health services research2010
Response to symptoms of stroke in the UK: a systematic review.
Synthesis in BMC health services research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 87 citations in OpenAlex.
- Health promotion interventions for increasing stroke awareness in ethnic minorities: a systematic review of the literature.BMC public health · 2014Pooled it
- Systematic review of mass media interventions designed to improve public recognition of stroke symptoms, emergency response and early treatment.BMC public health · 2010Pooled it
- Trial
- Effects of Stroke Awareness on Onset-to-Hospital Time and Healthcare Costs in Acute Ischemic Stroke: A Cross-Sectional Study.Noro psikiyatri arsivi · 2026Article
- Public Awareness of Stroke Symptoms in Developed and Developing Countries: A Systematic Review.Journal of caring sciences · 2025Review
- Factors associated with late hospital arrival in acute stroke patients of Bangladesh.Emergency medicine journal : EMJ · 2025Article
- Article
- Evaluating machine learning models for stroke prediction based on clinical variables.Frontiers in neurology · 2025Article
- Help-seeking and access to care for stroke and heart attack during the COVID-19 pandemic: A qualitative study.Sociology of health & illness · 2025Article
- Prevalence and Predictors of Stroke Among Patients Presenting to the Emergency Department with Dizziness: A Retrospective Cohort Study.Archives of academic emergency medicine · 2025Article
- Stroke Knowledge and Response Among the General Population in Saudi Arabia: A Population-Based Survey.Cureus · 2024Article
- Stroke signs knowledge and factors associated with a delayed hospital arrival of patients with acute stroke in Kinshasa.Heliyon · 2024Article
- Most patients with an increased risk for sepsis-related morbidity or death do not recognize sepsis as a medical emergency: results of a survey study using case vignettes.Critical care (London, England) · 2023Article
- Assessment of Knowledge and attitude towards Stroke among the UAE population during the COVID-19 pandemic: A cross-sectional study.F1000Research · 2023Article
- RDET stacking classifier: a novel machine learning based approach for stroke prediction using imbalance data.PeerJ. Computer science · 2023Article
- Article
- Stroke Risk Prediction with Machine Learning Techniques.Sensors (Basel, Switzerland) · 2022Article
- Awareness, Recognition, and Response to Stroke among the General Public-An Observational Study.Journal of neurosciences in rural practice · 2021Article
- "Hesitating and Puzzling": The Experiences and Decision Process of Acute Ischemic Stroke Patients with Prehospital Delay after the Onset of Symptoms.Healthcare (Basel, Switzerland) · 2021Article
- Effect of COVID-19 pandemic on stroke admission rates in a Norwegian population.Acta neurologica Scandinavica · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe English National Stroke Strategy suggests that there is a need to improve the response of patients and witnesses to the symptoms of acute stroke to increase rapid access to specialist care. We wished to review the evidence base regarding the knowledge, attitudes and behaviours of stroke patients, witnesses and the public to the symptoms of stroke and the need for an urgent response at the onset of symptoms.
methodsWe conducted a systematic review of UK articles reporting empirical research on a) awareness of and response to the symptoms of acute stroke or TIA, and b) beliefs and attitudes about diagnosis, early treatment and consequences of acute stroke or TIA. Nine electronic databases were searched using a robust search strategy. Citations and abstracts were screened independently by two reviewers. Data were extracted by two researchers independently using agreed criteria.
results11 studies out of 7144 citations met the inclusion criteria. Methods of data collection included: postal survey (n = 2); interview survey (n = 6); review of hospital documentation (n = 2) and qualitative interviews (n = 1). Limited data reveal a good level of knowledge of the two commonest stroke symptoms (unilateral weakness and speech disturbance), and of the need for an emergency response among the general public and at risk patients. Despite this, less than half of patients recognised they had suffered a stroke. Symptom recognition did not reduce time to presentation. For the majority, the first point of contact for medical assistance was a general practitioner.
conclusionsThere is an assumption that, in the UK, public knowledge of the symptoms of stroke and of the need for an emergency response is lacking, but there is little published research to support this. Public awareness raising campaigns to improve response to the symptoms of stroke therefore may not produce an increase in desired behaviours. Further research is needed to understand why people who experience or witness stroke symptoms frequently do not call emergency services.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.