Knowledge Attitudes and Practice about Stroke amongst Neurologists in India

Abstract

Background There is paucity of data regarding knowledge about diagnosis, aetiology, investigations, and management of stroke amongst neurologists in India. Methodology A cross-sectional observational analytical study in which the Knowledge, Attitudes, and Practice about stroke were assessed amongst neurologists across India using a Google Form with 30 multiple-choice questions and 10 case scenarios about acute ischemic stroke, acute hemorrhagic stroke, and cerebral venous sinus thrombosis. This Google Form was circulated amongst all Indian Academy of Neurology groups online from October 2022 to December 2022. Responses were analyzed question wise. Results A total of 148 neurologists responded with 90.5% practicing in urban India. In acute ischemic stroke only 56% chose noncontrast CT brain as the mainstay of imaging in stroke diagnosis. Similarly only 50% said that vascular imaging (CT angiography or MRI angiography) was important in stroke imaging. Questionnaires pertaining to the indications and contraindications for intravenous thrombolysis were well responded. Most answers on intracerebral hemorrhage were correct. Many neurologists are using DOAC in treatment of CVT even though latest studies have hinted towards their safety, but randomized control trials are still underway. Conclusion Results show good knowledge and practice in the field of acute hemorrhagic stroke and moderate results in CVT while there are glaring knowledge gaps in acute ischemic stroke. This reflects the rapidly changing field of acute ischemic stroke. The aim of training programs and conferences should be to update neurologists on this rapidly evolving field.