Is It Acute Stroke or Not? - A Prospective Observational Study from a Multidisciplinary Emergency Department
Background: Acute stroke is a medical emergency with various clinical presentations. Since the introduction of systemic thrombolytic treatment, stroke diagnosis has been made quickly and with great caution, and the trend of rapid presentation at hospitals has increased. Methods: In our multidiscipli...
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| Veröffentlicht in: | European neurology 2016-01, Vol.75 (3-4), p.170-177 |
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| container_title | European neurology |
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| creator | Wolf, Marc E. Chatzikonstantinou, Anastasios Grüttner, Joachim Ebert, Anne D. Walter, Thomas Hennerici, Michael G. Fatar, Marc |
| description | Background: Acute stroke is a medical emergency with various clinical presentations. Since the introduction of systemic thrombolytic treatment, stroke diagnosis has been made quickly and with great caution, and the trend of rapid presentation at hospitals has increased. Methods: In our multidisciplinary Emergency Department, we prospectively collected and analysed data of consecutive patients presenting with suspected acute stroke (SAS) or transient ischemic attack (TIA). Results: Four hundred ten patients (200 men, mean age 68 ± 16, range 17-93 years) with SAS were admitted of which 105 were prehospitally announced as within the time-window for thrombolytic treatment (TW). Diagnosis of acute stroke/TIA was retained in 147 (35.9%). The initially reported TW |
| doi_str_mv | 10.1159/000445249 |
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Since the introduction of systemic thrombolytic treatment, stroke diagnosis has been made quickly and with great caution, and the trend of rapid presentation at hospitals has increased. Methods: In our multidisciplinary Emergency Department, we prospectively collected and analysed data of consecutive patients presenting with suspected acute stroke (SAS) or transient ischemic attack (TIA). Results: Four hundred ten patients (200 men, mean age 68 ± 16, range 17-93 years) with SAS were admitted of which 105 were prehospitally announced as within the time-window for thrombolytic treatment (TW). Diagnosis of acute stroke/TIA was retained in 147 (35.9%). The initially reported TW <4.5 h was wrong in 35.3%. Thrombolysis was performed in 27 patients (23.5% of ischemic stroke patients; 6.6% of all SAS). Diagnosis of another neurologic disease was made in 62 (15.1%). Major differential diagnoses came from the field of internal medicine, psychiatry or otorhinolaryngology. One hundred fifty patients (36.6%) were rapidly discharged. Conclusion: About half the number of our patients admitted for SAS did not suffer from an acute neurologic disease. Residual symptoms post-stroke might be partly responsible for initial misinterpretation. The crucial difference between symptom onset and symptom recognition needs to be emphasized to improve the prehospital assessment of the TW.</description><identifier>ISSN: 0014-3022</identifier><identifier>EISSN: 1421-9913</identifier><identifier>DOI: 10.1159/000445249</identifier><identifier>PMID: 27031948</identifier><identifier>CODEN: EUNEAP</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Emergency Service, Hospital - statistics & numerical data ; Female ; Humans ; Ischemic Attack, Transient - diagnosis ; Male ; Middle Aged ; Original Paper ; Prospective Studies ; Stroke - diagnosis ; Young Adult</subject><ispartof>European neurology, 2016-01, Vol.75 (3-4), p.170-177</ispartof><rights>2016 S. Karger AG, Basel</rights><rights>2016 S. Karger AG, Basel.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-c5c95073ccb5462339b65875fe089d2b323d7bd6ddde72edb0a6b0cb40ec815d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,2430,27928,27929</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27031948$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wolf, Marc E.</creatorcontrib><creatorcontrib>Chatzikonstantinou, Anastasios</creatorcontrib><creatorcontrib>Grüttner, Joachim</creatorcontrib><creatorcontrib>Ebert, Anne D.</creatorcontrib><creatorcontrib>Walter, Thomas</creatorcontrib><creatorcontrib>Hennerici, Michael G.</creatorcontrib><creatorcontrib>Fatar, Marc</creatorcontrib><title>Is It Acute Stroke or Not? - A Prospective Observational Study from a Multidisciplinary Emergency Department</title><title>European neurology</title><addtitle>Eur Neurol</addtitle><description>Background: Acute stroke is a medical emergency with various clinical presentations. Since the introduction of systemic thrombolytic treatment, stroke diagnosis has been made quickly and with great caution, and the trend of rapid presentation at hospitals has increased. Methods: In our multidisciplinary Emergency Department, we prospectively collected and analysed data of consecutive patients presenting with suspected acute stroke (SAS) or transient ischemic attack (TIA). Results: Four hundred ten patients (200 men, mean age 68 ± 16, range 17-93 years) with SAS were admitted of which 105 were prehospitally announced as within the time-window for thrombolytic treatment (TW). Diagnosis of acute stroke/TIA was retained in 147 (35.9%). The initially reported TW <4.5 h was wrong in 35.3%. Thrombolysis was performed in 27 patients (23.5% of ischemic stroke patients; 6.6% of all SAS). Diagnosis of another neurologic disease was made in 62 (15.1%). Major differential diagnoses came from the field of internal medicine, psychiatry or otorhinolaryngology. One hundred fifty patients (36.6%) were rapidly discharged. Conclusion: About half the number of our patients admitted for SAS did not suffer from an acute neurologic disease. Residual symptoms post-stroke might be partly responsible for initial misinterpretation. The crucial difference between symptom onset and symptom recognition needs to be emphasized to improve the prehospital assessment of the TW.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Female</subject><subject>Humans</subject><subject>Ischemic Attack, Transient - diagnosis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Prospective Studies</subject><subject>Stroke - diagnosis</subject><subject>Young Adult</subject><issn>0014-3022</issn><issn>1421-9913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0cuLFDEQB-AgijuuHryLBLzoodc8O52TDOvoDuxDUM9NHtXSu92dNkkvzH9vlhlnQTyFgo-q1K8Qek3JGaVSfySECCGZ0E_QigpGK60pf4pWhFBRccLYCXqR0m0ppVbNc3TCFOFUi2aFhm3C24zXbsmAv-cY7gCHiK9D_oQrvMbfYkgzuNzfA76xCeK9yX2YzFDw4ne4i2HEBl8tQ-59n1w_D_1k4g5vRoi_YHI7_BlmE_MIU36JnnVmSPDq8J6in182P84vqsubr9vz9WXleM1y5aTTkijunJWiZpxrW8tGyQ5Ioz2znHGvrK-996AYeEtMbYmzgoBrqPT8FL3f951j-L1Ayu1YvgbDYCYIS2qpKkwwIXWh7_6ht2GJZb-iGloiJUo9qA975UocKULXzrEfy5otJe3DCdrjCYp9e-i42BH8Uf7N_HHknSkJxSPYXG_2LdrZd0W9-a86TPkD9duVGQ</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Wolf, Marc E.</creator><creator>Chatzikonstantinou, Anastasios</creator><creator>Grüttner, Joachim</creator><creator>Ebert, Anne D.</creator><creator>Walter, Thomas</creator><creator>Hennerici, Michael G.</creator><creator>Fatar, Marc</creator><general>S. Karger AG</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20160101</creationdate><title>Is It Acute Stroke or Not? - A Prospective Observational Study from a Multidisciplinary Emergency Department</title><author>Wolf, Marc E. ; Chatzikonstantinou, Anastasios ; Grüttner, Joachim ; Ebert, Anne D. ; Walter, Thomas ; Hennerici, Michael G. ; Fatar, Marc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-c5c95073ccb5462339b65875fe089d2b323d7bd6ddde72edb0a6b0cb40ec815d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Female</topic><topic>Humans</topic><topic>Ischemic Attack, Transient - diagnosis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Prospective Studies</topic><topic>Stroke - diagnosis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wolf, Marc E.</creatorcontrib><creatorcontrib>Chatzikonstantinou, Anastasios</creatorcontrib><creatorcontrib>Grüttner, Joachim</creatorcontrib><creatorcontrib>Ebert, Anne D.</creatorcontrib><creatorcontrib>Walter, Thomas</creatorcontrib><creatorcontrib>Hennerici, Michael G.</creatorcontrib><creatorcontrib>Fatar, Marc</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>European neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wolf, Marc E.</au><au>Chatzikonstantinou, Anastasios</au><au>Grüttner, Joachim</au><au>Ebert, Anne D.</au><au>Walter, Thomas</au><au>Hennerici, Michael G.</au><au>Fatar, Marc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is It Acute Stroke or Not? - A Prospective Observational Study from a Multidisciplinary Emergency Department</atitle><jtitle>European neurology</jtitle><addtitle>Eur Neurol</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>75</volume><issue>3-4</issue><spage>170</spage><epage>177</epage><pages>170-177</pages><issn>0014-3022</issn><eissn>1421-9913</eissn><coden>EUNEAP</coden><abstract>Background: Acute stroke is a medical emergency with various clinical presentations. Since the introduction of systemic thrombolytic treatment, stroke diagnosis has been made quickly and with great caution, and the trend of rapid presentation at hospitals has increased. Methods: In our multidisciplinary Emergency Department, we prospectively collected and analysed data of consecutive patients presenting with suspected acute stroke (SAS) or transient ischemic attack (TIA). Results: Four hundred ten patients (200 men, mean age 68 ± 16, range 17-93 years) with SAS were admitted of which 105 were prehospitally announced as within the time-window for thrombolytic treatment (TW). Diagnosis of acute stroke/TIA was retained in 147 (35.9%). The initially reported TW <4.5 h was wrong in 35.3%. Thrombolysis was performed in 27 patients (23.5% of ischemic stroke patients; 6.6% of all SAS). Diagnosis of another neurologic disease was made in 62 (15.1%). Major differential diagnoses came from the field of internal medicine, psychiatry or otorhinolaryngology. One hundred fifty patients (36.6%) were rapidly discharged. Conclusion: About half the number of our patients admitted for SAS did not suffer from an acute neurologic disease. Residual symptoms post-stroke might be partly responsible for initial misinterpretation. The crucial difference between symptom onset and symptom recognition needs to be emphasized to improve the prehospital assessment of the TW.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>27031948</pmid><doi>10.1159/000445249</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; Karger Journals |
| subjects | Adolescent Adult Aged Aged, 80 and over Emergency Service, Hospital - statistics & numerical data Female Humans Ischemic Attack, Transient - diagnosis Male Middle Aged Original Paper Prospective Studies Stroke - diagnosis Young Adult |
| title | Is It Acute Stroke or Not? - A Prospective Observational Study from a Multidisciplinary Emergency Department |
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