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    Temporal trends in presentations to Victorian EDs for stroke and TIAs - the impact of public awareness campaigns

    Access Status
    Fulltext not available
    Authors
    Bray, Janet
    Finn, Judith
    Cameron, P.
    Smith, K.
    Straney, L.
    Nehme, Z.
    Bladin, C.
    Date
    2017
    Type
    Conference Paper
    
    Metadata
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    Citation
    Bray, J. and Finn, J. and Cameron, P. and Smith, K. and Straney, L. and Nehme, Z. and Bladin, C. 2017. Temporal trends in presentations to Victorian EDs for stroke and TIAs - the impact of public awareness campaigns, in 27th Annual Scientific Meeting of the Stroke Society of Australasia, Aug 23-25 2017. Queenstown, New Zealand: Sage.
    Source Title
    INTERNATIONAL JOURNAL OF STROKE
    Source Conference
    27th Annual Scientific Meeting of the Stroke Society of Australasia
    ISSN
    1747-4930
    Faculty
    Faculty of Health Sciences
    School
    School of Nursing, Midwifery and Paramedicine
    URI
    http://hdl.handle.net/20.500.11937/80343
    Collection
    • Curtin Research Publications
    Abstract

    Introduction: Since 2004, the Stroke Foundation have run annual public awareness campaigns in Australia −using the FAST (Face, Arm, Speech Time) message since 2006. The FAST campaigns have increased awareness of stroke symptoms and calls to ambulance for stroke. In this study we examined the impact of the campaigns on the way stroke and TIA patients present to Victorian public emergency departments (EDs). Methods: Using the Victorian Emergency Minimum Dataset (VEMD) provided by the Department of Health and Human Services, we examined trends in presentations for patients with an emergency diagnosis of stroke or TIA admitted between 2003 and 2014. Annual trends were examined using logistic regression adjusting for age, sex, metropolitan hospital and English as preferred language (adjusted odd ratios, AOR). Results: Of the 13,496,434 VEMD admissions, almost 0.9% received an ED diagnosis of stroke (n = 71,791) or TIA (n = 46,291). Compared to 2003, significant changes were seen in referral patterns and in the transport used in the years the FAST message featured: a decrease in patients presenting via local doctors (p < 0.001, in 2014 AOR = 0.51); an increase in patients self-referring (p < 0.001, in 2014 AOR = 1.62); and, an increase in ambulance use (p < 0.001, in 2014 AOR = 1.12). Similar trends were seen in stroke and TIA patients. In 2014, 80% of stroke patients presented to a stroke thrombolysis centre (77% in self-transported and 84% in ambulance-transported). Conclusion: Since the FAST campaigns began, a greater proportion of stroke and TIA patients are presenting to hospital via ambulance and are bypassing their local doctors.

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    • Temporal Trends in Emergency Medical Services and General Practitioner Use for Acute Stroke After Australian Public Education Campaigns
      Bray, Janet; Finn, Judith; Cameron, P.; Smith, K.; Straney, L.; Cartledge, S.; Nehme, Z.; Lim, M.; Bladin, C. (2018)
      Background and Purpose- The Australian Stroke Foundation ran annual paid advertising between 2004 and 2014, using the FAST (Face, Arm, Speech, Time) campaign from 2006 and adding the message to call emergency medical ...
    • Stroke public awareness campaigns have increased ambulance dispatches for stroke in Melbourne, Australia
      Bray, Janet; Mosley, I.; Bailey, M.; Barger, B.; Bladin, C. (2011)
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      Bray, Janet; Straney, L.; Barger, B.; Finn, J. (2015)
      © 2015 American Heart Association, Inc. Background and Purpose - The National Stroke Foundation of Australia has run 12 public awareness campaigns since 2004. Campaign exposure and funding has varied annually and regionally ...
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