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These studies suggest that women recognize traditional stroke warning signs more often than men, but knowledge varies by race/ethnic group and is generally suboptimal, highlighting the need for targeted educational programs.
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Stroke is a leading cause of death and disability worldwide. Recognizing the warning signs of stroke is crucial for timely treatment and improved outcomes. Women, in particular, may experience both traditional and nontraditional symptoms, which can sometimes lead to delays in diagnosis and treatment.
Traditional stroke warning signs are well-documented and include sudden numbness or weakness of the face, arm, or leg, especially on one side of the body; sudden confusion, trouble speaking, or understanding speech; sudden trouble seeing in one or both eyes; sudden trouble walking, dizziness, loss of balance, or coordination; and sudden severe headache with no known cause . Studies have shown that women are generally more knowledgeable about these traditional warning signs compared to men .
Women are more likely than men to present with nontraditional stroke symptoms, which can complicate diagnosis. These symptoms include generalized weakness, fatigue, mental status changes, confusion, headache, and urinary incontinence . Women also report higher instances of nonfocal symptoms such as loss of consciousness and mental status changes . These nontraditional symptoms can lead to a higher risk of missed or delayed diagnosis in women .
Despite the higher prevalence of nontraditional symptoms, women tend to have better overall knowledge of stroke warning signs compared to men. Studies indicate that women are more likely to recognize all five traditional stroke warning signs and are more likely to call 9-1-1 if they suspect a stroke . However, knowledge gaps still exist, particularly among younger women and certain racial/ethnic groups, such as Hispanic women .
The recognition of both traditional and nontraditional stroke symptoms is essential for timely treatment. Public health campaigns should focus on educating women about the full spectrum of stroke symptoms, emphasizing the importance of immediate medical attention. Targeted education efforts are particularly needed for subgroups at higher risk of poor stroke knowledge, such as younger women and racial/ethnic minorities .
Understanding the warning signs of stroke, both traditional and nontraditional, is critical for improving outcomes in women. While women generally have better knowledge of stroke symptoms than men, there is still a need for targeted educational programs to address knowledge gaps and ensure timely treatment. Recognizing the unique presentation of stroke symptoms in women can help reduce delays in diagnosis and improve overall stroke care.
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