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  • Shams-Vahdati, Samad  (2)
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  • 1
    Online-Ressource
    Online-Ressource
    Australian International Academic Centre ; 2019
    In:  Advances in Bioscience and Clinical Medicine Vol. 7, No. 3 ( 2019-07-31), p. 7-
    In: Advances in Bioscience and Clinical Medicine, Australian International Academic Centre, Vol. 7, No. 3 ( 2019-07-31), p. 7-
    Kurzfassung: Background: Missing to detect an ischemic stroke in the emergency department leads to miss acute interventions and treatment with secondary prevention therapy. Our study examined the diagnosis of stroke in the emergency department (ED) and neurology department of an academic teaching hospital. Methods and Materials: A retrospective chart review was performed from March 2017 to March 2018. ED medical document (chart) were reviewed by a stroke neurologist to collect the clinical diagnosis and characteristics of ischemic stroke patients. For determining the cases of misdiagnosed and over diagnosed data, the administrative data codes were compared with the chart adjudicated diagnosis. The adjusted estimate of effect was estimated through testing the significant variables in a multivariable model. The comparisons were done with chi square test. Statistical significance was considered at P 〈 0.05. Results: Of 861 patients of the study, 54% were males and 43% were females; and the mean age of them was 66.51 ± 15.70. We find no statically significant difference between patient’s Glasgow Coma Scale (GCS) in the emergency department (12.87±3.25) and patients GCS in the neurology department (11.77±5.15). There were 18 (2.2%) overdiagnosed of ischemic stroke, 8 (0.9%) misdiagnosed of ischemic stroke and 36 (4.1%) misdiagnosed of hemorrhagic strokes in the emergency department. Conclusion: There was no significant difference between impression of stroke in the emergency department and diagnosis at the neurology department.
    Materialart: Online-Ressource
    ISSN: 2203-1413
    Sprache: Unbekannt
    Verlag: Australian International Academic Centre
    Publikationsdatum: 2019
    ZDB Id: 2766886-1
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 2
    Online-Ressource
    Online-Ressource
    Australian International Academic Centre ; 2020
    In:  Advances in Bioscience and Clinical Medicine Vol. 7, No. 4 ( 2020-01-28), p. 14-
    In: Advances in Bioscience and Clinical Medicine, Australian International Academic Centre, Vol. 7, No. 4 ( 2020-01-28), p. 14-
    Kurzfassung: Background: Developing countries are challenging with stroke as the third cause of death in developed countries and the most popular neurologic disease which results in disability. This study was designed to assess the relationship between demographic factors and early outcome in adult patients with difference type of stroke. Methods and Materials: A retrospective register review was performed from March 2017 to March 2018. ED medical document (chart) were reviewed by a neurologist or physician to obtain the clinical diagnosis, patient characteristics. Their demographic data (such as age, gender), NIHSS score and MRS score were filled in questionnaire. the significant variables were verified in a multivariable model to achieve an attuned estimate of effect. Results: A total of 861 patients with stroke were included in the analysis; the male and female sex in the statistical population were 56% and 43%; the mean age of the patients was 14.32 ± 61.74. The mean NIHSS (16.08±10.51) & MRS (3.66) scores were evaluated, respectively 47% severe stroke (NICHSS 〉 16). There was no significant relationship between age increase and NIHSS increase (P = 0.86). Conclusion: Aging has a significant relationship with increased stroke. Gender and age differences in risk of stroke outcomes are mostly described by variations in physical characteristics and stroke severity of the patients.
    Materialart: Online-Ressource
    ISSN: 2203-1413
    Sprache: Unbekannt
    Verlag: Australian International Academic Centre
    Publikationsdatum: 2020
    ZDB Id: 2766886-1
    Standort Signatur Einschränkungen Verfügbarkeit
    BibTip Andere fanden auch interessant ...
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