The assumptions made here are totally incorrect, you don't need more stroke centers or better training on diagnosis. You need an
OBJECTIVE way to determine a stroke is occurring. Like
these seventeen. Are people that stupid that they can't even solve a simple problem as described?
http://www.ncbi.nlm.nih.gov/pubmed/20719534
copyrighted so hopefully I won't get in trouble for pointing out this stupidity.
Abstract
Misdiagnosis or delayed diagnosis of
acute ischemic stroke can result in neurologic worsening or a missed
opportunity for thrombolysis. Because stroke in young adults is less
common than stroke in the elderly, we sought to determine clinical
characteristics associated with misdiagnosis of stroke in young adults.
Patients from the prospectively maintained Young Stroke Registry in our
comprehensive stroke center were reviewed. Demographic information, past
medical history, presentation within the 3-hour time window, and
outcomes were assessed. We compared patients misdiagnosed and those
correctly diagnosed to identify factors associated with misdiagnosis of
acute stroke. A total of 57 patients aged 16-50 were enrolled in the
registry during 2001-2006. Eight patients (14%; 4 men and 4 women; mean
age, 38 years) were misdiagnosed. Seven of these 8 patients were
discharged from the emergency department initially. Patients age < 35
years (P = .05) and patients with posterior circulation stroke (P =
.006) were more likely to be misdiagnosed. All 8 misdiagnosed patients
were initially evaluated at hospitals that were not certified primary
stroke centers. Patients presenting with vertebrobasilar territory
ischemia have a greater rate of misdiagnosis. Our study demonstrates the
increasing need for "young stroke awareness" among emergency department
personnel. Initial misdiagnosis can potentially lead to a lost
opportunity for thrombolysis in otherwise good candidates.
I feel I should post a comment.
ReplyDeleteI feel you should also. What was it? Invisible typing?
DeleteNo, I just don't know what to say, that doesn't happen to me often.
Delete