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Less Help-Seeking Behaviour in Female Patients Exhibiting Stroke or TIA - Related Symptoms

Tea Mikula orcid id ; Institute of Emergency Medicine of Bjelovar - Bilogora county, Bjelovar, Croatia
Arijana Lovrenčić-Huzjan ; Department of Neurology, University Hospital Centre Sestre milosrdnice, Zagreb, Croatia; School of Dental Medicine, University of Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia

Puni tekst: engleski pdf 332 Kb

str. 119-124

preuzimanja: 182



Several studies have shown sex differences regarding help-seeking behaviour in stroke and transient ischemic attack [TIA] patients. Women are less likely to perceive their symptoms as requiring immediate hospital care. They are also more inclined to involve friends and family in decision-making and help-seeking. Delaying transport to the hospital is partly due to behavioural and socio-demographic factors of female patients. These impact help-seeking behaviour and prolong prehospital delay, which may affect patient outcomes. We present a 69-year-old woman exhibiting neurological symptoms indicative of a cerebrovascular event, refusing to go to the hospital. The Emergency medical service [EMS] team made the initial medical assessment, outlining the need for immediate transport. Our patient did not view her symptoms as worrying but finally agreed to go to the hospital. She was persuaded by her children, who had an active role in the patient’s decision-making process. Factors that affected help-seeking behaviour and prehospital delay were analysed, accompanied by a review of literature related to the subject.

Ključne riječi

clinical decision-making; help-seeking behaviour; ischemic stroke; ischemic attack, transient; women

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