Acute stroke management represents a true medical emergency that requires prompt diagnosis and urgent treatment. In a previous exhaustive cohort study conducted in the Rhône region, France (AVC69) the investigators observed that only a small percentage of patients could access to thrombolysis in time. In this cohort of 1306 patients treated in one of the emergency department of the Rhone region for a suspected stroke, 84% of patients reached hospital through an emergency department instead of going directly to a stroke unit. Among those patients, only 8% were finally thrombolysed, because of extended management times.. Our hypothesis was that public awareness campaign designed to improve public's knowledge and skills would consequently reduce prehospital time and favour call to prehospital emergency medical services (EMS).
The investigators will conduct an awareness campaign aimed at the general population, using different communication media, the content will be developed based on the results of a qualitative study with focus groups (Quali-AVC), and using a diffusion plan established with communications professionals. To assess the effects of this campaign, a comparative quasi-experimental before-after study will be conducted. A control region where no awareness stroke program has been set up has been selected, data will be collected in the two regions. The assessment of the impact of the campaign will focus on the comparison of the evolution of indicators between these two regions. Three assessment time will be provided: before starting the program, at 3 months and at the end of the program.
- Public awareness campaign Other
Intervention Desc: The public awareness campaign was based on improving knowledge and skills of public to recognize stroke symptoms. The campaign materials were: 3 posters presenting the three main symptoms of stroke and the need to call the EMS immediately A leaflet on stroke will be created 3 participatory movies: These films will be posted on YouTube and broadcast on the website and the Facebook campaign page Actions on social networks: A Facebook group will be created ("AVC: votre appel peut sauver des vie). A website developed with ICAP - UCBL Lyon1 (http://avc.univ-lyon1.fr/) On the occasion of World Stroke Day, held annually on 29 October, will be organized an event in Lyon in order to educate and inform the general public about stroke: the main symptoms and reflexes to adopt in case of stroke: call the EMS urgently ARM 1: Kind: Experimental Label: Patients included in the Rhône region from France Description: public awareness campaign
- Perspective: Prospective
- Sampling: Probability Sample
Acute stroke suspicion patients calling the EMS of the Rhone and Isere area at the 3 periods of evaluation.
|Type||Measure||Time Frame||Safety Issue|
|Primary||Increase the number of calls to EMS (French call number 15) for stroke||24 hours||No|
|Secondary||reduction of the time between symptoms and call to EMS for suspected stroke||24 hours||No|
|Secondary||increase in the number of calls to EMS for stroke within 3 hours after symptoms onset||3 hours||No|
|Secondary||Knowledge of the general population about stroke||12 months||No|
|Secondary||recognition of the need to immediately call EMS when faced with stroke suspicion||12 months||No|