Gap between recognition and response to stroke scenarios among Saudi population: Cross-sectional survey study

Objectives: Recognition of stroke symptoms and emergency medical services (EMS) calls have a significant impact on patient management and outcome after acute strokes. The objective of this study is to assess the presence of a gap in the Saudi population between the recognition of stroke symptoms and the appropriate response to call EMS.Materials and Methods: This questionnaire-based, cross-sectional survey study was conducted among the Saudi population with 563 total participants. The data were collected using a self-administered, web-based questionnaire. It was distributed randomly via social media platforms and emails to the general population of Saudi Arabia (SA). A series of 12 vignettes of stroke scenarios and four non-stroke scenarios was adapted from validated instruments.Results: Our study revealed that 8% (n = 533) of the responses were appropriately recognized and resulted in calls to EMS while 38% (n = 2,639) did not respond by calling EMS despite their correct recognition. However, 9% (n = 608) chose to call EMS regardless of their incorrect recognition of the stroke scenario, and the plurality, 45% (n = 3,096), did not recognize the stroke scenario or respond by calling EMS. Furthermore, we found a statistically significant association among appropriate response, recognition, and self-efficacy.Conclusions: A recognition-response gap has been found among the Saudi population. Future campaigns should focus on the identification of common stroke symptoms and reinforce the importance of calling the EMS to apply the knowledge appropriately. Consequently, such actions could decrease mortality and chronic disability among stroke patients.