Conocimiento y actitudes sobre el ictus de los médicos de Atención Primaria.

Resumo

Objetive. Evaluate the level of knowledge and attitudes about stroke among primary health care physicians (PCP), including primary and secondary prevention and post-discharge care. Materials and methods. Cross-sectional, descriptive study. SEMG elaborated a survey that was sent to 18,600 emails from SEMG’s database (52.34% of Spanish PCP). It was completed voluntary and anonymously, between September 1st and December 31st 2019. Variables: age, sex, years of professional experience, autonomous community, work area and workplace; primary and secondary stroke prevention and post-discharge patient care related variables. Results. N= 916. 63.5% women. Average age: 50.30 years old (SD: 11.45). 73.9% worked in consultations and 65.5% in urban areas. 93% of PCP do screen vascular risk factors and more than 90% recognised strong association with: arterial hypertension (AHT), smoking, diabetes, atrial fibrillation, dyslipidemia, carotid stenosis, hypercoagulability and previous stroke. 54.3% know that AHT is the risk factor with the greatest association. 49.1% would antiaggregate patients over age 75 with cardioembolic stroke caused by atrial fibrillation. 49.3% believe that there is no adequate continuity after discharge, 59.7% schedule follow-up visits and only 30.8% actually have a medical care continuity plan. 24.1% reckon that they have adequate training in post-stroke care. Conclusions. PCP have a solid level of knowledge in regards to primary and secondary stroke prevention. However, the care provided to stroke patients after discharge is not as satisfactory. Moreover, there is an inadequate medical care continuity and the majority of the respondents perceive their own lack of training.