• Sao Paulo Med J · Jan 2023

    Awareness of stroke among patients with chronic kidney disease on hemodialysis: a cross-sectional study.

    • Orlando Vieira Gomes, Manoel Pereira Guimarães, Bárbara Maria Batista Barbosa, Christielle Lidianne Alencar Marinho, Jandir Mendonça Nicacio, Matheus Pereira Barreira, Mateus de Sousa Rodrigues, Leonardo Fernandes E Santana, Ubiracé Fernando Elihimas Júnior, and Paulo Adriano Schwingel.
    • MD, MSc. Nephrologist and Assistant Professor, University Hospital, School of Medicine, Universidade Federal do Vale do São Francisco (UNIVASF), Petrolina (PE), Brazil.
    • Sao Paulo Med J. 2023 Jan 1; 142 (1): e2022644e2022644.

    BackgroundStroke is a major cause of mortality worldwide. Renal dysfunction is an important risk factor for stroke. Brazilian studies on stroke knowledge are generally population based. Studies stratifying stroke knowledge according to comorbidities are rare. Scientific data are essential to guide the awareness of stroke.ObjectiveTo assess stroke knowledge in patients with chronic kidney disease (CKD) on hemodialysis.Design And SettingCross-sectional analytical study of patients with CKD on hemodialysis in north-eastern Brazil.MethodsA self-administered questionnaire survey on stroke awareness was administered to patients with CKD on hemodialysis between April and November 2022. The chi-square test and other descriptive statistics were used. Univariate and multivariate analyses were performed using logistic regression.ResultsA total of 197 patients were included in the analysis. The Brazilian acronym for stroke was used by 53.5% of the participants. Less than 10.0% of the sample showed optimal decision-making ability regarding stroke. Of the participants, 29.9% knew at least one risk factor and one symptom; however, this was considered as having below the minimum capacity because they did not know the emergency service call number. In the analysis adjusted for income and education, females (odds ratio [OR], 0.40%; 95% confidence interval [CI], 0.20-0.82), older patients (OR, 0.24%; 95% CI, 0.09-0.63) and having at most one comorbidity (OR, 0.48%; 95% CI, 0.23-0.98) were factors for lower levels of knowledge or ideal decision-making capacity against stroke.ConclusionsPatients on hemodialysis, especially women and older people, have little knowledge about stroke.

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