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Changing the strategy and culture of stroke awareness education in China: implementing Stroke 1-2-0

Jing Zhao, Xutong Li, Xiaochuan Liu, Yuming Xu, Jihong Xu, Anding Xu, Yongjun Wang, Renyu Liu
DOI: 10.1136/svn-2019-000324 Published 29 December 2020
Jing Zhao
1 Neurology, Minhang Hospital, Fudan University, Shanghai, China
2 Department of Neurology, Fudan University, Shanghai, China
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Xutong Li
1 Neurology, Minhang Hospital, Fudan University, Shanghai, China
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Xiaochuan Liu
3 Wannan Medical College, Wuhu, China
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Yuming Xu
4 Zhengzhou University First Affiliated Hospital, Zhengzhou, China
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Jihong Xu
5 Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
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Anding Xu
6 Department of Neurology and Stroke Center, Jinan University First Affiliated Hospital, Guangzhou, China
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Yongjun Wang
7 China National Clinical Research Center for Neurological Disease, Beijing, China
8 Neurology, Tiantan Hospital Affiliated to Capital Medical University, Beijing, China
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Renyu Liu
5 Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
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Article Figures & Data

Figures

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  • Figure 1
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    Figure 1

    The educational videos for Stroke 1-2-0 have been watched over 200 million times on the websites during the first half year after their release. The left panel (A) indicates 2 910 000 viewings after 2 months of its release; the right panel (B) indicates 5 200 000 viewings on one of the hosting sites 1 month after its release. Such data indicate a general public interest spike on the awareness of stroke.

  • Figure 2
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    Figure 2

    Searching weighted frequency of Stroke 1-2-0 extracted from Baidu Index from November 2016 to December 2018. As noted, there is no search of Stroke 1-2-0 in the early part of 2016; the search of Stroke 1-2-0 is gradually increasing over the period of 2016 to 2018, indicating an increase in interest.

  • Figure 3
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    Figure 3

    The impact of the Stroke1-2-0 campaign. (A) The acceptance rate of Stroke1-2-0 in 2016 and 2018; (B) Awareness of the thrombolytic time window for intravenous recombinant tissue plasminogen activator in 2016 and 2018; (C) How to choose a hospital after a stroke in 2016 and 2018? (D) Need for consent in 2016 and 2018. NH,nearby hospital; SC, stroke centreor facility with stroke care capability.

Tables

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  • Table 1

    Characteristics of the responders in 2016 and 2018

    2016 (n=3066)2018 (n=15 207)P value
    N %N %
    Age0–201093.62371.6
    21–40142546.5762450.1
    41–60131943.0682444.9
    Above 602136.95223.40.000
    GenderMale130442.5550036.2
    Female176257.5970763.80.000
    Academic degreeBachelor degree or above
    (medical school)
    99232.4493932.5
    College degree
    (medical school)
    51116.7422127.8
    Bachelor degree or above
    (non-medical school)
    64821.1201013.2
    College degree
    (non-medical school)
    33110.8217414.3
    High school or below58419.0186312.30.000
    OccupationNeurologist33611.0247416.3
    Non-neurologist physician2528.2295119.4
    Staff working in medical system except doctor77325.2318921.0
    Staff working in non-medical system170555.6659343.40.000
    AreaCity269387.813 42488.3
    Rural37312.2178311.70.490
    • n is the total number of the responders of that specific year, N is the total number of the responders of the sub-variables in each main variable on the left column.

    • (1) please make sure % align with the dedicated columns, both for 2016 and 2018, it should not together with N, they belong to different column, 2) please make sure there is space between “n” and “is”

  • Table 2

    The comparison of the acceptance of FAST and Stroke 1-2-0 between 2016 and 2018

    Variable20162018
    FASTStroke 1-2-0FASTStroke 1-2-0
    N1n%n%N2n%n%
    Age0–2010965.55247.7*2372410.116971.3†
    21–40142530621.571049.8*76245797.6642484.3†
    41–60131924318.467250.9*68245417.9552681.0†
    above 602133014.110448.8*5227915.137872.4†
    Academic degreesBachelor or above
    (medical school)
    99219519.749650.0*49393767.6447090.5†
    College degree
    (medical school)
    51110119.825650.1*42212205.2378489.6†
    Bachelor or above
    (non-medical school)
    64812919.933551.7*201033916.9131765.5†
    College degree
    (non-medical school)
    3316118.416750.5*21742119.7153570.6†
    High school or below5849917.028448.6*1863774.1139174.7†
    OccupationNeurologist33615144.914844.02474963.9237395.9†
    Non-neurologist physician2526827.012148.0*29511655.6273592.7†
    Staff working in medical system except doctors77316120.840752.7*31892738.6277086.9†
    Staff working in non-medical system170520512.086250.6*659368910.5461970.1
    • N1 represents the total number of responders for the main variables in 2016. N2 represents the number of responders for the main variables in 2018. n represents the number of the responders for the defined sub-variables with the N1 or N2.

    • *Means p<0.001 between the acceptance rate of FAST and Stroke1-2-0 in 2016.

    • †Means p<0.001 between the acceptance rate of Stroke1-2-0 in 2016 and 2018.

Supplementary Materials

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  • Supplementary data

    [svn-2019-000324supp001.pdf]

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Changing the strategy and culture of stroke awareness education in China: implementing Stroke 1-2-0
Jing Zhao, Xutong Li, Xiaochuan Liu, Yuming Xu, Jihong Xu, Anding Xu, Yongjun Wang, Renyu Liu
Stroke and Vascular Neurology Dec 2020, 5 (4) 374-380; DOI: 10.1136/svn-2019-000324

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Changing the strategy and culture of stroke awareness education in China: implementing Stroke 1-2-0
Jing Zhao, Xutong Li, Xiaochuan Liu, Yuming Xu, Jihong Xu, Anding Xu, Yongjun Wang, Renyu Liu
Stroke and Vascular Neurology Dec 2020, 5 (4) 374-380; DOI: 10.1136/svn-2019-000324
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Changing the strategy and culture of stroke awareness education in China: implementing Stroke 1-2-0
Jing Zhao, Xutong Li, Xiaochuan Liu, Yuming Xu, Jihong Xu, Anding Xu, Yongjun Wang, Renyu Liu
Stroke and Vascular Neurology Dec 2020, 5 (4) 374-380; DOI: 10.1136/svn-2019-000324
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