Navigation überspringen
Universitätsbibliothek Heidelberg
Status: Bibliographieeintrag

Verfügbarkeit
Standort: ---
Exemplare: ---
heiBIB
 Online-Ressource
Verfasst von:Wolf, Marc [VerfasserIn]   i
 Chatzikonstantinou, Anastasios [VerfasserIn]   i
 Grüttner, Joachim [VerfasserIn]   i
 Ebert, Anne [VerfasserIn]   i
 Walter, Thomas [VerfasserIn]   i
 Hennerici, Michael G. [VerfasserIn]   i
 Fatar, Marc [VerfasserIn]   i
Titel:Is it acute stroke or not?
Titelzusatz:a prospective observational study from a multidisciplinary emergency department
Verf.angabe:Marc E. Wolf, Anastasios Chatzikonstantinou, Joachim Grüttner, Anne D. Ebert, Thomas Walter, Michael G. Hennerici, Marc Fatar
E-Jahr:2016
Jahr:April 1, 2016
Umfang:8 S.
Fussnoten:Gesehen am 26.02.2019
Titel Quelle:Enthalten in: European neurology
Ort Quelle:Basel : Karger, 1968
Jahr Quelle:2016
Band/Heft Quelle:75(2016), 3-4, Seite 170-177
ISSN Quelle:1421-9913
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.
DOI:doi:10.1159/000445249
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: http://dx.doi.org/10.1159/000445249
 Volltext: https://www-karger-com.ezproxy.medma.uni-heidelberg.de/Article/FullText/445249
 DOI: https://doi.org/10.1159/000445249
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1588125645
Verknüpfungen:→ Zeitschrift

Permanenter Link auf diesen Titel (bookmarkfähig):  https://katalog.ub.uni-heidelberg.de/titel/68362044   QR-Code
zum Seitenanfang